KIDNEY DISEASE SPECIALIST PLLC
NPI 1104189448
Internal Medicine - Nephrology in Canton, MI
About Kidney Disease Specialist Pllc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KIDNEY DISEASE SPECIALIST PLLC (NPI 1104189448) is a healthcare organization registered as a nephrology in Canton, Michigan and active in the NPI registry since June 2012. The organization lists Kashif Majeed Chaudhry, M.d, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 2
Group Practice 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Kidney Disease Specialist Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Kidney Disease Specialist PLLC, which bills Medicare for the services this clinician delivers.
Clinician (1)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Kidney Disease Specialist PLLC's NPI number?
The NPI number for Kidney Disease Specialist PLLC is 1104189448. It was assigned to this organization in the NPPES registry on June 21, 2012.
Where is Kidney Disease Specialist PLLC located?
Kidney Disease Specialist PLLC is located at 41750 Michigan Ave, Canton, MI 48188. The listed phone number is (734) 398-0444.
What is Kidney Disease Specialist PLLC's specialty?
The primary specialty registered for this NPI is Internal Medicine, specializing in Nephrology, with taxonomy code 207RN0300X.
Is Kidney Disease Specialist PLLC enrolled in Medicare?
Yes. Kidney Disease Specialist PLLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Kidney Disease Specialist PLLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Internal Medicine) reassigns their Medicare billing to Kidney Disease Specialist PLLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
What insurance does Kidney Disease Specialist PLLC accept?
Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company list Kidney Disease Specialist PLLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Kidney Disease Specialist PLLC was last updated on June 21, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Kidney Disease Specialist Pllc · NPI 1104189448
Nephrology organization in Canton, Michigan. Organization record, active in the CMS NPPES registry since June 21, 2012.
## Identity
- **NPI:** 1104189448 (Entity type: Organization)
- **Enumerated:** June 21, 2012
- **Primary specialty:** Internal Medicine - Nephrology · taxonomy 207RN0300X
- **Organization subpart:** No
- **Authorized official:** Kashif Chaudhry, M.D
## Practice location
- **Address:** 41750 MICHIGAN AVE, Canton, MI 48188-2679
- **Phone:** (734) 398-0444
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Internal Medicine) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** June 21, 2012
---
Source: [NPI Profile](https://npiprofile.com/npi/1104189448) · Data from the CMS NPPES public registry.