KIDNEY AND HYPERTENSION SPECIALISTS PLLC
NPI 1174649354
Specialist in Jackson, MI

Active since March 21, 2007
900 E MICHIGAN AVE, STE 104, JACKSON, MI 49201(517) 788-7866(517) 796-9339 Get Directions Write a Review

NPPES record last updated: July 27, 2007. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Kidney And Hypertension Specialists Pllc NPPES

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

KIDNEY AND HYPERTENSION SPECIALISTS PLLC (NPI 1174649354) is a healthcare organization registered as a specialist in Jackson, Michigan and active in the NPI registry since March 2007. The organization lists Reddivalem Venkata Nagesh, Managing Partner, as its authorized official.

NPPES Registry Identity

NPI1174649354
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NameKIDNEY AND HYPERTENSION SPECIALISTS PLLC
Location Address900 E MICHIGAN AVE, STE 104Jackson, MI 49201-2457
Mailing Address900 E Michigan Ave, Ste 104Jackson, MI 49201-2457 · (517) 788-7866 · Fax (517) 796-9339
Fax(517) 796-9339
Organization SubpartNo
Authorized OfficialReddivalem Venkata NageshManaging Partner · (517) 788-7866
Enumeration DateMarch 21, 2007
Last NPPES UpdateJuly 27, 2007
✔ NPI 1174649354 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License✔ Licensed in MI · RN042337
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
900 E MICHIGAN AVE, Jackson, MI 49201

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, revalidation and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kidney And Hypertension Specialists Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by November 30, 2026

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StateMichiganEnrollment IDO20050107000833Non-DME Part B · Clinic/Group PracticeDue dateNovember 30, 2026
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

4

Medicare enrollment records show 4 clinicians reassign Medicare billing to Kidney And Hypertension Specialists PLLC, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 2 within 10 miles. They are listed nearest first.

Clinicians, nearest first (4)

Orthopedic Surgery
NPI 1821151598
900 E MICHIGAN AVE STE 104
Jackson, MI 49201
(517) 788-7866
✔ PECOS✔ Accepts MedicareSame address
Nephrology
NPI 1730122367
205 N EAST AVE
Jackson, MI 49201
(517) 788-4800
✔ PECOS✔ Accepts Medicare1.3 mi
Nurse Practitioner
NPI 1356824841
1900 WEALTHY ST SE STE 100
Grand Rapids, MI 49506
(616) 267-7333
✔ PECOS✔ Accepts Medicare79 mi
Internal Medicine
NPI 1912985615
7830 MADISON AVE
Indianapolis, IN 46227
(317) 888-1100
✔ PECOS✔ Accepts Medicare201 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 Kidney And Hypertension Specialists PLLC's NPI number?

The NPI number for Kidney And Hypertension Specialists PLLC is 1174649354. It was assigned to this organization in the NPPES registry on March 21, 2007.

Where is Kidney And Hypertension Specialists PLLC located?

Kidney And Hypertension Specialists PLLC is located at 900 E Michigan Ave Ste 104, Jackson, MI 49201. The listed phone number is (517) 788-7866.

What is Kidney And Hypertension Specialists PLLC's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Is Kidney And Hypertension Specialists PLLC enrolled in Medicare?

Yes. Kidney And Hypertension Specialists PLLC is registered in the Medicare PECOS enrollment system.

When is Kidney And Hypertension Specialists PLLC's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Michigan, Clinic/Group Practice) is due for revalidation by November 30, 2026. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

How many clinicians bill Medicare through Kidney And Hypertension Specialists PLLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 4 clinicians reassign their Medicare billing to Kidney And Hypertension Specialists PLLC, in Internal Medicine, Nephrology, Nurse Practitioner and Orthopedic Surgery. 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, 1 practice at this address and 2 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Kidney And Hypertension Specialists PLLC accept?

Health plans from Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company list Kidney And Hypertension Specialists 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 And Hypertension Specialists PLLC was last updated on July 27, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.