Kidney Disease Specialist PLLC
NPI 1104189448 · Nephrology Physician · Canton, MI
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Kidney Disease Specialist PLLC is a Nephrology Physician organization in Canton, MI (NPI 1104189448).
Provider details
- NPI number
- 1104189448
- Entity type
- Organization
- Primary specialty
- Nephrology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Kashif Chaudhry, M.D(248) 943-2986
- License
- 4301077743 (MI)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
13 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
Mailing address
Registry dates
- Enumerated
- 2012-06-21
- Last updated
- 2012-06-21
Frequently asked questions
- What is Kidney Disease Specialist PLLC's NPI number?
- Kidney Disease Specialist PLLC's National Provider Identifier (NPI) is 1104189448, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Kidney Disease Specialist PLLC?
- Kidney Disease Specialist PLLC is classified in the NPPES registry as Nephrology Physician (Allopathic & Osteopathic Physicians).
- Where is Kidney Disease Specialist PLLC located?
- Kidney Disease Specialist PLLC's practice location on file with NPPES is 41750 Michigan Ave, Canton, MI 48188-2679.
- What is Kidney Disease Specialist PLLC's phone number?
- The practice phone number listed in the NPPES registry for Kidney Disease Specialist PLLC is (734) 398-0444.
- Does Kidney Disease Specialist PLLC accept Medicare?
- Kidney Disease Specialist PLLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Kidney Disease Specialist PLLC?
- The authorized official listed on Kidney Disease Specialist PLLC's NPPES record is Kashif Chaudhry, M.D. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Kidney Disease Specialist PLLC's NPI active?
- Yes — Kidney Disease Specialist PLLC's NPI (1104189448) is active in the NPPES registry as of the last update on 2012-06-21.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.