1. Home
  2. Directory
  3. Michigan
  4. Roseville
  5. Internal Medicine
  6. NPI Profile

KIDNEY CONSULTANTS OF MICHIGAN PC
NPI 1932396496
Internal Medicine - Nephrology in Roseville, MI

Active since September 28, 2007
25710 KELLY RD STE 1, ROSEVILLE, MI 48066(586) 772-2600(586) 772-5289 Get Directions Write a Review

NPPES record last updated: February 2, 2021. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Feb 2, 2021, Oct 18, 2018, May 25, 2018 and 1 more (4 updates tracked since 2016).

About Kidney Consultants Of Michigan Pc NPPES

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

KIDNEY CONSULTANTS OF MICHIGAN PC (NPI 1932396496) is a healthcare organization registered as a nephrology in Roseville, Michigan and active in the NPI registry since September 2007. The organization lists Abdul R Effendi, Owner, as its authorized official.

NPPES Registry Identity

NPI1932396496
Entity TypeOrganization
Primary Taxonomy207RN0300X
Legal Business NameKIDNEY CONSULTANTS OF MICHIGAN PC
Location Address25710 KELLY RD STE 1Roseville, MI 48066
Mailing Address25710 Kelly Rd Ste 1Roseville, MI 48066-4959 · (586) 772-2600 · Fax (586) 772-5289
Phone(586) 772-2600
Fax(586) 772-5289
Organization SubpartNo
Authorized OfficialAbdul R EffendiOwner · (586) 772-2600
Enumeration DateSeptember 28, 2007
Last NPPES UpdateFebruary 2, 20214 updates tracked since enumeration
NPPES CertifiedFebruary 2, 2021
✔ NPI 1932396496 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.
25710 KELLY RD STE 1, Roseville, MI 48066
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 Consultants Of Michigan Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

10

Medicare enrollment records show 10 clinicians reassign Medicare billing to Kidney Consultants Of Michigan PC, which bills Medicare for the services they deliver. Of these, 5 practice at this address and 6 within 10 miles. They are listed nearest first.

Clinicians by Medicare Specialty 2

Nephrology5
Nurse Practitioner5

Clinicians, nearest first (10)

Abdul Effendi, MD
Nephrology
NPI 1881647584
25710 KELLY RD STE 1
Roseville, MI 48066
(586) 772-2600
✔ PECOS✔ Accepts MedicareSame address
Gary Jones, FNP-C
Nurse Practitioner
NPI 1760225577
25710 KELLY RD STE 1
Roseville, MI 48066
(586) 772-2600
✔ PECOS✔ Accepts MedicareSame address
Hilana Kaafarani, MD
Nephrology
NPI 1174789473
25710 KELLY RD STE 1
Roseville, MI 48066
(586) 772-2600
✔ PECOS✔ Accepts MedicareSame address
Rana Issa, DNP, RN, FNP-BC
Nurse Practitioner
NPI 1003584905
25710 KELLY RD STE 1
Roseville, MI 48066
(586) 772-2600
✔ PECOS✔ Accepts MedicareSame address
Neveen Jolagh
Nurse Practitioner
NPI 1477419752
25710 KELLY RD STE 1
Roseville, MI 48066
(586) 772-2600
✔ PECOS✔ Accepts MedicareSame address
Marrouf Azar, MD
Nephrology
NPI 1467616433
5280 METROPOLITAN PKWY
Sterling Heights, MI 48310
(248) 290-3111
✔ PECOS✔ Accepts Medicare8.5 mi
Neetu Sharma, M.D
Nephrology
NPI 1326272501
1129 W 14 MILE RD # 1055
Clawson, MI 48017
(844) 792-4207
✔ PECOS✔ Accepts Medicare11 mi
Donike Veliaj, NP
Nurse Practitioner
NPI 1518475078
44344 DEQUINDRE RD
Sterling Heights, MI 48314
(586) 731-8383
✔ PECOS✔ Accepts Medicare12 mi
Sheeja Varghese, AGPCNP
Nurse Practitioner
NPI 1841698859
36123 SCHOOLCRAFT RD
Livonia, MI 48150
(734) 464-0887
✔ PECOS✔ Accepts Medicare25 mi
Shadi Bashour, DO
Nephrology
NPI 1710298153
1100 E CHEVES ST
Florence, SC 29506
(843) 669-6694
✔ PECOS✔ Accepts Medicare597 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 Consultants Of Michigan PC's NPI number?

The NPI number for Kidney Consultants Of Michigan PC is 1932396496. It was assigned to this organization in the NPPES registry on September 28, 2007.

Where is Kidney Consultants Of Michigan PC located?

Kidney Consultants Of Michigan PC is located at 25710 Kelly Rd Ste 1, Roseville, MI 48066. The listed phone number is (586) 772-2600.

What is Kidney Consultants Of Michigan PC's specialty?

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

Is Kidney Consultants Of Michigan PC enrolled in Medicare?

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

How many clinicians bill Medicare through Kidney Consultants Of Michigan PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 10 clinicians in 2 Medicare specialties reassign their Medicare billing to Kidney Consultants 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 (5). Of these, 5 practice at this address and 6 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Kidney Consultants 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 Consultants 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 Consultants Of Michigan PC was last updated on February 2, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.