St Clair Specialty Physicians PC
NPI 1154361616 · Nephrology Physician · Roseville, MI
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
St Clair Specialty Physicians PC is a Nephrology Physician organization in Roseville, MI (NPI 1154361616).
Provider details
- NPI number
- 1154361616
- Entity type
- Organization
- Primary specialty
- Nephrology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Christopher Provenzano, Ceo/Managing Employee (w2)(586) 286-7800
Specialties & taxonomies
Allopathic & Osteopathic Physicians
- Vascular Surgery Physician2086S0129X
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
20 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
Other names (DBA / former)
- Doing business as
- St. Clair Nephrology, Idaho Nephrology Associates
- Doing business as
- St. Clair Nephrology, Idaho Nephrology Associates
Registry dates
- Enumerated
- 2006-06-06
- Last updated
- 2022-10-17
- Certified
- 2022-10-17
Frequently asked questions
- What is St Clair Specialty Physicians PC's NPI number?
- St Clair Specialty Physicians PC's National Provider Identifier (NPI) is 1154361616, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is St Clair Specialty Physicians PC?
- St Clair Specialty Physicians PC is classified in the NPPES registry as Nephrology Physician (Allopathic & Osteopathic Physicians).
- Where is St Clair Specialty Physicians PC located?
- St Clair Specialty Physicians PC's practice location on file with NPPES is 18001 E 10 Mile Rd, Roseville, MI 48066-3803.
- What is St Clair Specialty Physicians PC's phone number?
- The practice phone number listed in the NPPES registry for St Clair Specialty Physicians PC is (586) 218-5800.
- Does St Clair Specialty Physicians PC accept Medicare?
- St Clair Specialty Physicians PC 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 St Clair Specialty Physicians PC?
- The authorized official listed on St Clair Specialty Physicians PC's NPPES record is Christopher Provenzano, Ceo/Managing Employee (w2). The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is St Clair Specialty Physicians PC's NPI active?
- Yes — St Clair Specialty Physicians PC's NPI (1154361616) is active in the NPPES registry as of the last update on 2022-10-17.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.