Renovis Health LLC
NPI 1205443504 · Internal Medicine Physician · Southfield, MI
Renovis Health LLC is a Internal Medicine Physician organization in Southfield, MI (NPI 1205443504).
Provider details
- NPI number
- 1205443504
- Entity type
- Organization
- Primary specialty
- Internal Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Olisaeloka Dallah, Chief Administrative Officer(248) 470-7318
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
- Home Health Agency251E00000X
Agencies
- Health Maintenance Organization302R00000X
Managed Care Organizations
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
5 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
- Renovis Health
- Doing business as
- Renovis Health
Registry dates
- Enumerated
- 2020-09-30
- Last updated
- 2023-03-13
- Certified
- 2023-03-13
Frequently asked questions
- What is Renovis Health LLC's NPI number?
- Renovis Health LLC's National Provider Identifier (NPI) is 1205443504, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Renovis Health LLC?
- Renovis Health LLC is classified in the NPPES registry as Internal Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Renovis Health LLC located?
- Renovis Health LLC's practice location on file with NPPES is 26206 W 12 Mile Rd Ste 302, Southfield, MI 48034-8501.
- What is Renovis Health LLC's phone number?
- The practice phone number listed in the NPPES registry for Renovis Health LLC is (424) 303-0544.
- Who is the authorized official for Renovis Health LLC?
- The authorized official listed on Renovis Health LLC's NPPES record is Olisaeloka Dallah, Chief Administrative Officer. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Renovis Health LLC's NPI active?
- Yes — Renovis Health LLC's NPI (1205443504) is active in the NPPES registry as of the last update on 2023-03-13.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.