COMORIN KIDNEYCARE PLLC
NPI 1528480365
Internal Medicine - Nephrology in Livonia, MI

Active since January 14, 2014
14555 LEVAN ROAD, SUITE 308, LIVONIA, MI 48154(734) 288-3370(734) 785-8421 Get Directions Write a Review

NPPES record last updated: March 22, 2022. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Comorin Kidneycare Pllc NPPES

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

COMORIN KIDNEYCARE PLLC (NPI 1528480365) is a healthcare organization registered as a nephrology in Livonia, Michigan and active in the NPI registry since January 2014. The organization lists Victoria Jean Greenwood, Biller, as its authorized official.

NPPES Registry Identity

NPI1528480365
Entity TypeOrganization
Primary Taxonomy207RN0300X
Legal Business NameCOMORIN KIDNEYCARE PLLC
Location Address14555 LEVAN ROAD, SUITE 308Livonia, MI 48154-6052
Mailing AddressPo Box 510052Livonia, MI 48151-6052 · (734) 288-3370 · Fax (734) 785-8421
Fax(734) 785-8421
Organization SubpartNo
Authorized OfficialVictoria Jean GreenwoodBiller · (313) 221-5152
Enumeration DateJanuary 14, 2014
Last NPPES UpdateMarch 22, 2022
NPPES CertifiedMarch 22, 2022
✔ NPI 1528480365 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 · 4301084038
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.
14555 LEVAN ROAD, Livonia, MI 48154

Other Identifiers 1

Medicaid4301084038MI

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)

Comorin Kidneycare Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Comorin Kidneycare PLLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Internal Medicine
NPI 1194930776
1611 MONROE ST
Dearborn, MI 48124
(248) 808-5721
✔ PECOS✔ Accepts Medicare10 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 Comorin Kidneycare PLLC's NPI number?

The NPI number for Comorin Kidneycare PLLC is 1528480365. It was assigned to this organization in the NPPES registry on January 14, 2014.

Where is Comorin Kidneycare PLLC located?

Comorin Kidneycare PLLC is located at 14555 Levan Road Suite 308, Livonia, MI 48154. The listed phone number is (734) 288-3370.

What is Comorin Kidneycare PLLC's specialty?

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

Is Comorin Kidneycare PLLC enrolled in Medicare?

Yes. Comorin Kidneycare PLLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Comorin Kidneycare PLLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Internal Medicine) reassigns their Medicare billing to Comorin Kidneycare PLLC. 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 Comorin Kidneycare PLLC accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company list Comorin Kidneycare 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 Comorin Kidneycare PLLC was last updated on March 22, 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.