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KIDNEY CARE SPECIALISTS OF MICHIGAN PC
NPI 1588960298
Internal Medicine - Nephrology in Saint Clair Shores, MI

Active since January 28, 2011
29001 HARPER AVE, SAINT CLAIR SHORES, MI 48081(586) 778-0664(586) 778-0396 Get Directions Write a Review

NPPES record last updated: June 2, 2015. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Kidney Care Specialists Of Michigan Pc NPPES

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

KIDNEY CARE SPECIALISTS OF MICHIGAN PC (NPI 1588960298) is a healthcare organization registered as a nephrology in Saint Clair Shores, Michigan and active in the NPI registry since January 2011. The organization lists Faten Suleiman Ayyoub, President, as its authorized official.

NPPES Registry Identity

NPI1588960298
Entity TypeOrganization
Primary Taxonomy207RN0300X
Legal Business NameKIDNEY CARE SPECIALISTS OF MICHIGAN PC
Location Address29001 HARPER AVESaint Clair Shores, MI 48081-2711
Mailing Address2250 Hawthorne Dr SShelby Twp, MI 48316-5536 · (586) 778-0664 · Fax (586) 778-0396
Phone(586) 778-0664
Fax(586) 778-0396
Organization SubpartNo
Authorized OfficialFaten Suleiman AyyoubPresident · (586) 778-0664
Enumeration DateJanuary 28, 2011
Last NPPES UpdateJune 2, 2015
✔ NPI 1588960298 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.
29001 HARPER AVE, Saint Clair Shores, MI 48081
Open in Google Maps ↗

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 Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.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)

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

Clinicians Billing Medicare Through This Organization

8

Medicare enrollment records show 8 clinicians reassign Medicare billing to Kidney Care Specialists Of Michigan PC, which bills Medicare for the services they deliver. Of these, 6 practice at this address and 7 within 10 miles. They are listed nearest first.

Clinicians, nearest first (8)

Caitlin Kelly, AG-ACNP
Nurse Practitioner
NPI 1629581970
29001 HARPER AVE
Saint Clair Shores, MI 48081
(586) 778-0664
✔ PECOSSame address
Chand Sheoran
Nurse Practitioner
NPI 1124646476
29001 HARPER AVE
Saint Clair Shores, MI 48081
(586) 778-0664
✔ PECOS✔ Accepts MedicareSame address
Faten Ayyoub, MD
Nephrology
NPI 1881650760
29001 HARPER AVE
Saint Clair Shores, MI 48081
(586) 778-0664
✔ PECOS✔ Accepts MedicareSame address
Richard Cross, MD
Nephrology
NPI 1972771061
29001 HARPER AVE
Saint Clair Shores, MI 48081
(586) 778-0664
✔ PECOS✔ Accepts MedicareSame address
Jennifer Odren, D.O.
Nephrology
NPI 1821384249
29001 HARPER AVE
Saint Clair Shores, MI 48081
(586) 778-0664
✔ PECOS✔ Accepts MedicareSame address
Blessing Okoronkwo, M.D.
Nephrology
NPI 1720298136
29001 HARPER AVE
Saint Clair Shores, MI 48081
(586) 778-0664
✔ PECOS✔ Accepts MedicareSame address
Aine Sons, FNP-BC
Nurse Practitioner
NPI 1437682317
8244 METRO PKWY STE C
Sterling Heights, MI 48312
(586) 795-4060
✔ PECOS7.8 mi
Rakesh Lattupalli, MD
Nephrology
NPI 1841292158
1101 W UNIVERSITY DR
Rochester, MI 48307
(248) 918-4206
✔ PECOS✔ Accepts Medicare17 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 Kidney Care Specialists Of Michigan PC's NPI number?

The NPI number for Kidney Care Specialists Of Michigan PC is 1588960298. It was assigned to this organization in the NPPES registry on January 28, 2011.

Where is Kidney Care Specialists Of Michigan PC located?

Kidney Care Specialists Of Michigan PC is located at 29001 Harper Ave, Saint Clair Shores, MI 48081. The listed phone number is (586) 778-0664.

What is Kidney Care Specialists Of Michigan PC's specialty?

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

Is Kidney Care Specialists Of Michigan PC enrolled in Medicare?

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

How many clinicians bill Medicare through Kidney Care Specialists Of Michigan PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 8 clinicians in 2 Medicare specialties reassign their Medicare billing to Kidney Care Specialists Of Michigan 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. The largest specialties are Nephrology (5) and Nurse Practitioner (3). Of these, 6 practice at this address and 7 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Kidney Care Specialists Of Michigan PC 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 Kidney Care Specialists Of Michigan 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 Kidney Care Specialists Of Michigan PC was last updated on June 2, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.