RENAL CONSULTANT PC
NPI 1164734596
Internal Medicine - Nephrology in Troy, MI

Active since July 14, 2010
1380 COOLIDGE HWY STE 150, TROY, MI 48084(248) 817-5264(248) 829-7752 Get Directions Write a Review

NPPES record last updated: December 27, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Renal Consultant Pc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

RENAL CONSULTANT PC (NPI 1164734596) is a healthcare organization registered as a nephrology in Troy, Michigan and active in the NPI registry since July 2010. The organization lists Gampala H Reddy, President, as its authorized official.

NPPES Registry Identity

NPI1164734596
Entity TypeOrganization
Primary Taxonomy207RN0300X
Legal Business NameRENAL CONSULTANT PC
Location Address1380 COOLIDGE HWY STE 150Troy, MI 48084-7058
Mailing AddressPo Box 251221West Bloomfield, MI 48325-1221 · (248) 720-9226
Fax(248) 829-7752
Organization SubpartNo
Authorized OfficialGampala H ReddyPresident · (248) 817-5264
Enumeration DateJuly 14, 2010
Last NPPES UpdateDecember 27, 2023
NPPES CertifiedDecember 27, 2023
✔ NPI 1164734596 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · NephrologyAllopathic & Osteopathic Physicians
Taxonomy Code207RN0300X
License✔ Licensed in MI · GR088423
Definition
An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.
1380 COOLIDGE HWY STE 150, Troy, MI 48084

Other Identifiers 1

Other0F39037MI · Bcbs

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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)

Renal Consultant Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

4

Medicare enrollment records show 4 clinicians reassign Medicare billing to Renal Consultant PC, which bills Medicare for the services they deliver. Of these, 3 practice at this address. They are listed nearest first.

Clinicians, nearest first (4)

Internal Medicine
NPI 1790187748
1380 COOLIDGE HWY STE 150
Troy, MI 48084
(248) 817-5264
✔ PECOS✔ Accepts MedicareSame address
Nephrology
NPI 1396768214
1380 COOLIDGE HWY STE 150
Troy, MI 48084
(248) 817-5264
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1447728076
1380 COOLIDGE HWY STE 150B
Troy, MI 48084
(248) 250-9474
✔ PECOSSame address
Nephrology
NPI 1609189497
203 HOSPITAL DR
Raton, NM 87740
(575) 445-3661
✔ PECOS1,195 mi

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 Renal Consultant PC's NPI number?

The NPI number for Renal Consultant PC is 1164734596. It was assigned to this organization in the NPPES registry on July 14, 2010.

Where is Renal Consultant PC located?

Renal Consultant PC is located at 1380 Coolidge Hwy Ste 150, Troy, MI 48084. The listed phone number is (248) 817-5264.

What is Renal Consultant PC's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Nephrology, with taxonomy code 207RN0300X.

Is Renal Consultant PC enrolled in Medicare?

Yes. Renal Consultant PC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Renal Consultant PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 4 clinicians reassign their Medicare billing to Renal Consultant PC, in Internal Medicine, Nephrology and Nurse Practitioner. 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. Of these, 3 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Renal Consultant PC accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian and Blue Cross Blue Shield of Michigan Mutual Insurance Company list Renal Consultant PC 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 Renal Consultant PC was last updated on December 27, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.