OrganizationActive
Renal and Hypertension Specialists, PLLC
NPI 1174898522 · Nephrology Physician · Grand Rapids, MI
Provider details
- NPI number
- 1174898522
- Entity type
- Organization
- Primary specialty
- Nephrology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Andrew Krutul, President(616) 516-2192
- License
- 4301068403 (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
4024 Park East Ct Se
Suite C
Grand Rapids, MI 49546-8810
Phone: (616) 516-2192
Street-level locationGet directions
Mailing address
4860 E Meadows Ct Se
Grand Rapids, MI 49546-8247
Registry dates
- Enumerated
- 2012-03-19
- Last updated
- 2012-03-19
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.