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NOD-PRIME RHEUMATOLOGY SPECIALISTS PLLC
NPI 1811650435
Internal Medicine - Nephrology in Wyandotte, MI

Active since October 20, 2021
1623 FORD AVE, WYANDOTTE, MI 48192(734) 389-7167 Get Directions Write a Review

NPPES record last updated: September 11, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Sep 11, 2025, Oct 20, 2021 (2 updates tracked since 2021).

About Nod-prime Rheumatology Specialists Pllc NPPES

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

NOD-PRIME RHEUMATOLOGY SPECIALISTS PLLC (NPI 1811650435) is a healthcare organization registered as a nephrology in Wyandotte, Michigan and active in the NPI registry since October 2021. The organization lists Brandi Conner, Evp, as its authorized official.

NPPES Registry Identity

NPI1811650435
Entity TypeOrganization
Primary Taxonomy207RN0300X
Legal Business NameNOD-PRIME RHEUMATOLOGY SPECIALISTS PLLC
Location Address1623 FORD AVEWyandotte, MI 48192-2303
Mailing Address2375 E Camelback Rd Ste 600Phoenix, AZ 85016-3493 · (602) 714-8162
Phone(734) 389-7167
Organization SubpartNo
Authorized OfficialBrandi ConnerEvp · (602) 714-8162
Enumeration DateOctober 20, 2021
Last NPPES UpdateSeptember 11, 20252 updates tracked since enumeration
NPPES CertifiedOctober 20, 2021
✔ NPI 1811650435 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.

Other Identifiers 1

Medicaid5357970MI

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

Other Providers at the Same Location NPPES 4

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

DR. MUSTAPHA MOHAMED MALLAH M.D.
Internal Medicine (Rheumatology)
1623 FORD AVE
WYANDOTTE, MI 48192
Wayne County (734) 389-7167
DR. GIRISH C MANGALICK M.D.
Psychiatry & Neurology (Neurology)
1623 FORD AVE
WYANDOTTE, MI 48192
Wayne County (734) 284-2600
PRIME RHEUMATOLOGY CENTER PLLC
Specialist
1623 FORD AVE
WYANDOTTE, MI 48192
Wayne County (734) 389-7167
ARTHRITIS & RHEUMATISM, PLLC
Internal Medicine (Rheumatology)
1623 FORD AVE
WYANDOTTE, MI 48192
Wayne County (734) 282-7000

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 Nod-Prime Rheumatology Specialists PLLC's NPI number?

The NPI number for Nod-Prime Rheumatology Specialists PLLC is 1811650435. It was assigned to this organization in the NPPES registry on October 20, 2021.

Where is Nod-Prime Rheumatology Specialists PLLC located?

Nod-Prime Rheumatology Specialists PLLC is located at 1623 Ford Ave, Wyandotte, MI 48192. The listed phone number is (734) 389-7167.

What is Nod-Prime Rheumatology Specialists PLLC's specialty?

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

When was this NPI record last updated?

The NPPES record for Nod-Prime Rheumatology Specialists PLLC was last updated on September 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.