GOVANI KIDNEY CARE LLC
NPI 1578057865
Internal Medicine - Nephrology in Lakewood, OH

Active since June 19, 2018CLIA 36D1021410 · Waiver
15644 MADISON AVE STE 211, LAKEWOOD, OH 44107(734) 223-5593(216) 521-5351 Get Directions Write a Review

NPPES record last updated: June 19, 2018. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Govani Kidney Care Llc NPPES

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

GOVANI KIDNEY CARE LLC (NPI 1578057865) is a healthcare organization registered as a nephrology in Lakewood, Ohio and active in the NPI registry since June 2018. The organization holds a CLIA Waiver certificate valid through January 21, 2028 and lists Maulik Govani, Physician (solo Member), as its authorized official.

NPPES Registry Identity

NPI1578057865
Entity TypeOrganization
Primary Taxonomy207RN0300X
Legal Business NameGOVANI KIDNEY CARE LLC
Location Address15644 MADISON AVE STE 211Lakewood, OH 44107-5622
Mailing Address15644 Madison Ave Ste 211Lakewood, OH 44107-5622 · (734) 223-5593 · Fax (216) 521-5351
Fax(216) 521-5351
Organization SubpartNo
Authorized OfficialMaulik GovaniPhysician (solo Member) · (734) 223-5593
Enumeration DateJune 19, 2018
NPI 1578057865 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 OH · 35.134182
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.

15644 MADISON AVE STE 211, Lakewood, OH 44107

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

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 36D1021410

Govani · Lakewood, OH
Active · expires Jan 21, 2028
CLIA Number36D1021410
Laboratory TypePhysician Office
Certificate Effective DateJanuary 22, 2026
Certificate Expiration DateJanuary 21, 2028
Laboratory DirectorNitin Govani
Laboratory Phone(216) 521-3430
Laboratory LocationGovani15644 Madison Avenue, Lakewood, OH 44107
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Internal Medicine
15644 MADISON AVE STE 211
LAKEWOOD, OH 44107

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1578057865, enumerated as an "organization" on June 19, 2018.

The provider is located at 15644 MADISON AVE STE 211 LAKEWOOD, OH 44107 and the phone number is (734) 223-5593.

Internal Medicine with taxonomy code 207RN0300X and a focus in Nephrology.

The provider might be accepting Accepts: Anthem Blue Cross and Blue Shield and CareSource. Please consult your insurance carrier or call the provider to verify.