Southeastern Michigan Kidney Center PLLC
NPI 1316967797 · End-Stage Renal Disease (ESRD) Treatment Clinic/Center · Berkley, MI
Enrolled with Medicare as Part a Provider - End-Stage Renal Disease Facility (esrd) · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Southeastern Michigan Kidney Center PLLC is a End-Stage Renal Disease (ESRD) Treatment Clinic/Center organization in Berkley, MI (NPI 1316967797).
Provider details
- NPI number
- 1316967797
- Entity type
- Organization
- Primary specialty
- End-Stage Renal Disease (ESRD) Treatment Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- David Shepherd, Vice President(248) 642-5038
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 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
- 2006-07-20
- Last updated
- 2011-09-28
Frequently asked questions
- What is Southeastern Michigan Kidney Center PLLC's NPI number?
- Southeastern Michigan Kidney Center PLLC's National Provider Identifier (NPI) is 1316967797, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Southeastern Michigan Kidney Center PLLC?
- Southeastern Michigan Kidney Center PLLC is classified in the NPPES registry as End-Stage Renal Disease (ESRD) Treatment Clinic/Center (Ambulatory Health Care Facilities).
- Where is Southeastern Michigan Kidney Center PLLC located?
- Southeastern Michigan Kidney Center PLLC's practice location on file with NPPES is 1695 W 12 Mile Rd, Berkley, MI 48072-2183.
- What is Southeastern Michigan Kidney Center PLLC's phone number?
- The practice phone number listed in the NPPES registry for Southeastern Michigan Kidney Center PLLC is (248) 414-5200.
- Does Southeastern Michigan Kidney Center PLLC accept Medicare?
- Southeastern Michigan Kidney Center 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 Southeastern Michigan Kidney Center PLLC?
- The authorized official listed on Southeastern Michigan Kidney Center PLLC's NPPES record is David Shepherd, Vice President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Southeastern Michigan Kidney Center PLLC's NPI active?
- Yes — Southeastern Michigan Kidney Center PLLC's NPI (1316967797) is active in the NPPES registry as of the last update on 2011-09-28.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.