OrganizationActive
Kidney Center of Michigan
NPI 1083983498 · Nephrology Physician · Pontiac, MI
Provider details
- NPI number
- 1083983498
- Entity type
- Organization
- Primary specialty
- Nephrology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Amith Kakulavaram, President(248) 858-3011
- License
- 4301084121 (MI)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(80/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
14 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
44555 Woodward Ave
Suite 404
Pontiac, MI 48341-5031
Phone: (248) 858-3011
Fax: (800) 414-1646
Street-level locationGet directions
Mailing address
Po Box 71026
Rochester Hills, MI 48307-0019
Registry dates
- Enumerated
- 2011-12-14
- Last updated
- 2012-02-24
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.