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KAISER MEDICAL CENTER PC
NPI 1235325226
Surgery in Saint Clair Shores, MI

Active since September 24, 2007
24025 GREATER MACK AVE STE 103, SAINT CLAIR SHORES, MI 48080(586) 806-3220(586) 350-0099 Get Directions Write a Review

NPPES record last updated: May 6, 2026. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: May 6, 2026, Sep 13, 2024 (2 updates tracked since 2024).

About Kaiser Medical Center Pc NPPES

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

KAISER MEDICAL CENTER PC (NPI 1235325226), doing business as Kaiser Medical Center, is a healthcare organization registered as a surgery in Saint Clair Shores, Michigan and active in the NPI registry since September 2007. The organization lists Elango Edhayan, Director, as its authorized official.

NPPES Registry Identity

NPI1235325226
Entity TypeOrganization
Primary Taxonomy208600000X
Legal Business NameKAISER MEDICAL CENTER PC
Location Address24025 GREATER MACK AVE STE 103Saint Clair Shores, MI 48080-4311
Mailing Address24025 Greater Mack Ave Ste 103Saint Clair Shores, MI 48080-4311 · (586) 806-3220 · Fax (586) 350-0099
Phone(586) 806-3220
Fax(586) 350-0099
Organization SubpartNo
Authorized OfficialElango EdhayanDirector · (313) 549-9595
Enumeration DateSeptember 24, 2007
Last NPPES UpdateMay 6, 20262 updates tracked since enumeration
NPPES CertifiedMay 6, 2026
✔ NPI 1235325226 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
Definition
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
24025 GREATER MACK AVE STE 103, Saint Clair Shores, MI 48080
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Other Names 1

Doing Business AsKaiser Medical Center

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)

Kaiser Medical Center 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 Kaiser Medical Center PC, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 3 within 10 miles. They are listed nearest first.

Clinicians, nearest first (4)

Elango Edhayan, MD
General Surgery
NPI 1770680381
24025 GREATER MACK AVE STE 103
Saint Clair Shores, MI 48080
(586) 806-3220
✔ PECOS✔ Accepts MedicareSame address
Madhavi Kanneganti, MD
Internal Medicine
NPI 1881768075
11670 MARTIN
Warren, MI 48093
(586) 754-3830
✔ PECOS✔ Accepts Medicare5.9 mi
Bernadette Mason, FNP-BC
Nurse Practitioner
NPI 1194034181
11800 E 12 MILE RD
Warren, MI 48093
(586) 573-5402
✔ PECOS✔ Accepts Medicare6.0 mi
Kemi Osanaiye
Nurse Practitioner
NPI 1124605720
500 KIRTS BLVD STE 200
Troy, MI 48084
(248) 824-6500
✔ PECOS✔ Accepts Medicare14 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 Kaiser Medical Center PC's NPI number?

The NPI number for Kaiser Medical Center PC is 1235325226. It was assigned to this organization in the NPPES registry on September 24, 2007. The provider is doing business as Kaiser medical center.

Where is Kaiser Medical Center PC located?

Kaiser Medical Center PC is located at 24025 Greater Mack Ave Ste 103, Saint Clair Shores, MI 48080. The listed phone number is (586) 806-3220.

What is Kaiser Medical Center PC's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Is Kaiser Medical Center PC enrolled in Medicare?

Yes. Kaiser Medical Center PC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Kaiser Medical Center PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 4 clinicians reassign their Medicare billing to Kaiser Medical Center PC, in General Surgery, Internal Medicine 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, 1 practice at this address and 3 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Kaiser Medical Center PC accept?

Health plans from Blue Cross Blue Shield of Michigan Mutual Insurance Company list Kaiser Medical Center 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 Kaiser Medical Center PC was last updated on May 6, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 months 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.