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RENAL ASSOCIATES OF WEST MICHIGAN PC
NPI 1871674200
Internal Medicine - Nephrology in Grand Rapids, MI

Active since October 19, 2006CLIA Certified · 2 labs
330 E BELTLINE AVE NE, SUITE 100, GRAND RAPIDS, MI 49506(616) 752-6235(616) 752-6324 Get Directions Write a Review

NPPES record last updated: January 17, 2020. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jan 17, 2020, Dec 22, 2016 (2 updates tracked since 2016).

About Renal Associates Of West Michigan Pc NPPES

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

RENAL ASSOCIATES OF WEST MICHIGAN PC (NPI 1871674200) is a healthcare organization registered as a nephrology in Grand Rapids, Michigan and active in the NPI registry since October 2006. The organization holds 2 active CLIA laboratory certificates and lists Mark R Boelkins, Md, as its authorized official.

NPPES Registry Identity

NPI1871674200
Entity TypeOrganization
Primary Taxonomy207RN0300X
Legal Business NameRENAL ASSOCIATES OF WEST MICHIGAN PC
Location Address330 E BELTLINE AVE NE, SUITE 100Grand Rapids, MI 49506-1267
Mailing Address330 E Beltline Ave Ne, Suite 100Grand Rapids, MI 49506-1267 · (616) 752-6235 · Fax (616) 752-6324
Phone(616) 752-6235
Fax(616) 752-6324
Organization SubpartNo
Authorized OfficialMark R BoelkinsMd · (616) 752-6235
Enumeration DateOctober 19, 2006
Last NPPES UpdateJanuary 17, 20202 updates tracked since enumeration
✔ NPI 1871674200 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.
330 E BELTLINE AVE NE, Grand Rapids, MI 49506
Open in Google Maps ↗

Other Identifiers 1

Medicaid1871674200MI

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, revalidation and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Renal Associates Of West Michigan Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by February 28, 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 IDO20040225000277Non-DME Part B · Clinic/Group PracticeDue dateFebruary 28, 2027
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

26

Medicare enrollment records show 26 clinicians reassign Medicare billing to Renal Associates Of West Michigan PC, which bills Medicare for the services they deliver. Of these, 18 practice at this address and 22 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 3

Nephrology15
Nurse Practitioner6
Internal Medicine5

Nearest to this location (20)

See all 26
Ramandeep Banga, M.D.
Nephrology
NPI 1093005373
330 E BELTLINE AVE NE SUITE 100
Grand Rapids, MI 49506
(616) 752-6235
✔ PECOS✔ Accepts MedicareSame address
Mark Boelkins, MD
Nephrology
NPI 1942396437
330 E BELTLINE AVE NE SUITE 100
Grand Rapids, MI 49506
(616) 752-6235
✔ PECOSSame address
Jan Bowerman-Torres, FNP-BC
Nurse Practitioner
NPI 1588056048
330 E BELTLINE AVE NE
Grand Rapids, MI 49506
(616) 752-6235
✔ PECOS✔ Accepts MedicareSame address
Paul Delyria, M.D.
Nephrology
NPI 1457690125
330 E BELTLINE AVE NE STE 100
Grand Rapids, MI 49506
(616) 752-6235
✔ PECOS✔ Accepts MedicareSame address
Kseniya Filippova, MD
Nephrology
NPI 1437245933
330 E BELTLINE AVE NE SUITE 100
Grand Rapids, MI 49506
(616) 752-6235
✔ PECOS✔ Accepts MedicareSame address
Ronald Hofmann, MD
Nephrology
NPI 1295701209
330 E BELTLINE AVE NE SUITE 100
Grand Rapids, MI 49506
(616) 752-6235
✔ PECOS✔ Accepts MedicareSame address
Daniel Legault, MD
Nephrology
NPI 1649204892
330 E BELTLINE AVE NE SUITE 100
Grand Rapids, MI 49506
(616) 752-6235
✔ PECOS✔ Accepts MedicareSame address
Melanie Lyon, FNP
Nurse Practitioner
NPI 1699436592
330 E BELTLINE AVE NE STE 100
Grand Rapids, MI 49506
(616) 752-6235
✔ PECOS✔ Accepts MedicareSame address
Daniel Meyer, M.D.
Nephrology
NPI 1427412832
330 E BELTLINE AVE NE STE 100
Grand Rapids, MI 49506
(616) 752-6235
✔ PECOS✔ Accepts MedicareSame address
Bonita Mohamed, MD, MA
Nephrology
NPI 1295055572
330 E BELTLINE AVE NE
Grand Rapids, MI 49506
(616) 752-6235
✔ PECOS✔ Accepts MedicareSame address
330 E BELTLINE AVE NE SUITE 100
Grand Rapids, MI 49506
(616) 752-6235
✔ PECOS✔ Accepts MedicareSame address
Byron Slaton, MD
Nephrology
NPI 1770692527
330 E BELTLINE AVE NE SUITE 100
Grand Rapids, MI 49506
(616) 752-6235
✔ PECOS✔ Accepts MedicareSame address
Michael Unruh, M.D.
Nephrology
NPI 1104036532
330 E BELTLINE AVE NE SUITE 100
Grand Rapids, MI 49506
(616) 752-6235
✔ PECOS✔ Accepts MedicareSame address
James Visser, MD
Nephrology
NPI 1548353048
330 E BELTLINE AVE NE SUITE 100
Grand Rapids, MI 49506
(616) 752-6235
✔ PECOS✔ Accepts MedicareSame address
Scott Buchowski, MD
Internal Medicine
NPI 1790170629
330 E BELTLINE AVE NE STE 100
Grand Rapids, MI 49506
(616) 752-6235
✔ PECOS✔ Accepts MedicareSame address
Kali Gray, DO
Internal Medicine
NPI 1003439852
330 E BELTLINE AVE NE STE 100
Grand Rapids, MI 49506
(616) 752-6235
✔ PECOS✔ Accepts MedicareSame address
Patrick Jenkinson, DO, MBA, MS
Internal Medicine
NPI 1871114348
330 E BELTLINE AVE NE
Grand Rapids, MI 49506
(616) 752-6235
✔ PECOS✔ Accepts MedicareSame address
Palavi Vaidya, MD
Internal Medicine
NPI 1386271724
330 E BELTLINE AVE NE STE 100
Grand Rapids, MI 49506
(616) 752-6235
✔ PECOS✔ Accepts MedicareSame address
Brett Plattner, M.D.
Internal Medicine
NPI 1306041520
330 E BELTLINE AVE NE STE 100
Grand Rapids, MI 49506
(616) 752-6235
✔ PECOS✔ Accepts Medicare0.8 mi
Joan Tobar, NP
Nurse Practitioner
NPI 1366057671
330 E BELTLINE AVE NE STE 100
Grand Rapids, MI 49506
(616) 752-6235
✔ PECOS✔ Accepts Medicare0.8 mi
See all 26 clinicians

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

CLIA Laboratory Certificates CMS CLIA 2

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 for Provider-Performed Microscopy Procedures (PPMP) 23D0693806

Renal Associates Of West Michigan PC · Grand Rapids, MI
Active · expires Aug 31, 2028
CLIA Number23D0693806
Laboratory TypePhysician Office
Certificate Effective DateSeptember 1, 2026
Certificate Expiration DateAugust 31, 2028
Laboratory DirectorSaurabh K. Goel
Laboratory Phone(616) 752-6235
Laboratory LocationRenal Associates Of West Michigan PC330 E Beltline NE Suite 100, Grand Rapids, MI 49506
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

Certificate for Provider-Performed Microscopy Procedures (PPMP) 23D2074260

Renal Associates Of West Michigan, PC · Holland, MI
Active · expires Mar 15, 2027
CLIA Number23D2074260
Laboratory TypePhysician Office
Certificate Effective DateMarch 16, 2025
Certificate Expiration DateMarch 15, 2027
Laboratory DirectorSaurabh K. Goel
Laboratory Phone(616) 752-6235
Laboratory LocationRenal Associates Of West Michigan, PC649 Hastings Ave, Holland, MI 49423
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

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 Renal Associates Of West Michigan PC's NPI number?

The NPI number for Renal Associates Of West Michigan PC is 1871674200. It was assigned to this organization in the NPPES registry on October 19, 2006.

Where is Renal Associates Of West Michigan PC located?

Renal Associates Of West Michigan PC is located at 330 E Beltline Ave NE Suite 100, Grand Rapids, MI 49506. The listed phone number is (616) 752-6235.

What is Renal Associates Of West Michigan PC's specialty?

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

Is Renal Associates Of West Michigan PC enrolled in Medicare?

Yes. Renal Associates Of West Michigan PC is registered in the Medicare PECOS enrollment system.

When is Renal Associates Of West Michigan 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 February 28, 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 Renal Associates Of West Michigan PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 26 clinicians in 3 Medicare specialties reassign their Medicare billing to Renal Associates Of West 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 (15), Nurse Practitioner (6) and Internal Medicine (5). Of these, 18 practice at this address and 22 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Renal Associates Of West Michigan PC hold CLIA laboratory certificates?

Yes. 2 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

What insurance does Renal Associates Of West 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 Renal Associates Of West 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 Renal Associates Of West Michigan PC was last updated on January 17, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.