Metro Detroit Renal Doctor PC
NPI 1417230889ActiveOrganization· Internal Medicine, Nephrology· Rochester Hills, MI
Internal Medicine, Nephrology in Rochester Hills, Michigan, registered in NPPES in September 2011. The authorized official on file is Rakesh Lattupalli, MD, Owner. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1417230889 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Sep 22, 2011 |
| Last updated in NPPES | Apr 29, 2022 |
| Certified by provider | Apr 29, 2022 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Internal Medicine, Nephrology Primary | 207RN0300X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 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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