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METRO DETROIT RENAL DOCTOR PC
NPI 1417230889
Internal Medicine - Nephrology in Rochester Hills, MI

Active since September 22, 2011
1349 S ROCHESTER RD STE 115, ROCHESTER HILLS, MI 48307(248) 759-4852(248) 759-4854 Get Directions Write a Review

NPPES record last updated: April 29, 2022. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Metro Detroit Renal Doctor Pc NPPES

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

METRO DETROIT RENAL DOCTOR PC (NPI 1417230889) is a healthcare organization registered as a nephrology in Rochester Hills, Michigan and active in the NPI registry since September 2011. The organization lists Rakesh Lattupalli, Owner, as its authorized official.

NPPES Registry Identity

NPI1417230889
Entity TypeOrganization
Primary Taxonomy207RN0300X
Legal Business NameMETRO DETROIT RENAL DOCTOR PC
Location Address1349 S ROCHESTER RD STE 115Rochester Hills, MI 48307-3151
Mailing AddressPo Box 3272Saginaw, MI 48605-3272 · (989) 797-1400 · Fax (989) 797-4077
Phone(248) 759-4852
Fax(248) 759-4854
Organization SubpartNo
Authorized OfficialRakesh LattupalliOwner · (313) 247-6037
Enumeration DateSeptember 22, 2011
Last NPPES UpdateApril 29, 2022
NPPES CertifiedApril 29, 2022
✔ NPI 1417230889 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.
1349 S ROCHESTER RD STE 115, Rochester Hills, MI 48307
Open in Google Maps ↗

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Care Network of Michigan.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)

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

Medicare Revalidation Due Date

Revalidation due by March 31, 2027

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 IDO20111216000608Non-DME Part B · Clinic/Group PracticeDue dateMarch 31, 2027
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Metro Detroit Renal Doctor PC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Rakesh Lattupalli, MD
Nephrology
NPI 1841292158
1101 W UNIVERSITY DR
Rochester, MI 48307
(248) 918-4206
✔ PECOS✔ Accepts Medicare1.6 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 Metro Detroit Renal Doctor PC's NPI number?

The NPI number for Metro Detroit Renal Doctor PC is 1417230889. It was assigned to this organization in the NPPES registry on September 22, 2011.

Where is Metro Detroit Renal Doctor PC located?

Metro Detroit Renal Doctor PC is located at 1349 S Rochester Rd Ste 115, Rochester Hills, MI 48307. The listed phone number is (248) 759-4852.

What is Metro Detroit Renal Doctor PC's specialty?

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

Is Metro Detroit Renal Doctor PC enrolled in Medicare?

Yes. Metro Detroit Renal Doctor PC is registered in the Medicare PECOS enrollment system.

When is Metro Detroit Renal Doctor PC'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 March 31, 2027. 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 Metro Detroit Renal Doctor PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nephrology) reassigns their Medicare billing to Metro Detroit Renal Doctor PC. 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 Metro Detroit Renal Doctor PC accept?

Health plans from Blue Care Network of Michigan list Metro Detroit Renal Doctor 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 Metro Detroit Renal Doctor PC was last updated on April 29, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.