MICHIGAN KIDNEY CARE PC
NPI 1205022142
Internal Medicine - Nephrology in Berkley, MI

Q: What is Michigan Kidney Care PC's NPI number?

The NPI number for Michigan Kidney Care PC is 1205022142. It was assigned to this organization in the NPPES registry on September 24, 2007.

Q: What is Michigan Kidney Care PC's specialty?

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

Active since September 24, 2007

1695 12 MILE RD, STE 250, BERKLEY, MI 48072(248) 414-3874(248) 646-7854 Get Directions Write a Review

NPPES record last updated: May 14, 2008. Verified against the NPPES registry weekly; last sync: October 25, 2026.

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About Michigan Kidney Care Pc NPPES

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

MICHIGAN KIDNEY CARE PC (NPI 1205022142) is a healthcare organization registered as a nephrology in Berkley, Michigan and active in the NPI registry since September 2007. The organization lists Olaf C Kroneman, Owner, as its authorized official.

NPPES Registry Identity

NPI1205022142

Entity TypeOrganization

Primary Taxonomy207RN0300X

Legal Business NameMICHIGAN KIDNEY CARE PC

Location Address1695 12 MILE RD, STE 250Berkley, MI 48072-2182

Mailing Address1695 12 Mile Rd, Ste 250Berkley, MI 48072-2182 · (248) 414-3874 · Fax (248) 646-7854

Phone(248) 414-3874

Fax(248) 646-7854

Organization SubpartNo

Authorized OfficialOlaf C KronemanOwner · (248) 290-2940

Enumeration DateSeptember 24, 2007

Last NPPES UpdateMay 14, 2008

✔ NPI 1205022142 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · NephrologyAllopathic & Osteopathic Physicians

Taxonomy Code207RN0300X

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.

1695 12 MILE RD, Berkley, MI 48072

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Other Identifiers 1

Medicare PIN0P01240MI

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

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross Blue Shield of Michigan Mutual Insurance Company.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)

Michigan Kidney Care Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 2 clinicians reassign Medicare billing to Michigan Kidney Care PC, which bills Medicare for the services they deliver. They are listed nearest first.

Clinicians, nearest first (2)

Olaf Kroneman, MD

Nephrology

NPI 1316938061

1695 W 12 MILE RD SUITE 250
Berkley, MI 48072

(248) 414-3874

✔ PECOS✔ Accepts Medicare18 mi

Ann Florio, NP-C

Nurse Practitioner

NPI 1902148117

1695 12 MILE RD SUITE 250
Berkley, MI 48072

(248) 414-5200

✔ PECOS✔ Accepts Medicare18 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 Michigan Kidney Care PC's NPI number?

The NPI number for Michigan Kidney Care PC is 1205022142. It was assigned to this organization in the NPPES registry on September 24, 2007.

Where is Michigan Kidney Care PC located?

Michigan Kidney Care PC is located at 1695 12 Mile Rd Ste 250, Berkley, MI 48072. The listed phone number is (248) 414-3874.

What is Michigan Kidney Care PC's specialty?

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

Is Michigan Kidney Care PC enrolled in Medicare?

Yes. Michigan Kidney Care PC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Michigan Kidney Care PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians reassign their Medicare billing to Michigan Kidney Care PC, in 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Michigan Kidney Care PC accept?

Health plans from Blue Cross Blue Shield of Michigan Mutual Insurance Company list Michigan Kidney Care 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 Michigan Kidney Care PC was last updated on May 14, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.