Nephrology Hypertension Clinic, PC
NPI 1053466094ActiveOrganization· Internal Medicine, Nephrology· Allen Park, MI
Internal Medicine, Nephrology in Allen Park, Michigan, registered in NPPES in January 2007. The authorized official on file is Pinnamaneni Prasad, MD, President. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1053466094 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jan 23, 2007 |
| Last updated in NPPES | Jun 22, 2026 |
| Certified by provider | Jun 22, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Internal Medicine, Nephrology Primary | 207RN0300X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (MI) |
|---|
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