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Northwest Detroit Dialysis Center, LLC

End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Detroit, MI · enumerated 2006 · authorized official David Shepherd, Vice President.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1083634471

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Registry record

Entity type Organization (Type 2)
Legal business name Northwest Detroit Dialysis Center, LLC
Practice address 7800 W Outer Dr, Suite 190, Detroit, MI, 48235
Fax (313) 270-9238
Enumeration date Jul 20, 2006
Last updated in NPPES Mar 4, 2015

Taxonomy & classification

261QE0700X End-Stage Renal Disease (ESRD) Treatment Clinic/Center Ambulatory Health Care Facilities Primary

Authorized official

Name David Shepherd
Title Vice President

Other identifiers

Identifier Type State Issuer
000000003402 Other - CAPE
1008733 Other - OMNICARE
09457 Other - BLUE CROSS SECONDARY
14296 Other - M CARE
08954 Other - FED BLUE CROSS PRIMARY
10078540001 Other - WELLNESS
232544 Other - HAP
138129 Other - PREFERRED CHOICE
5066 Other - GREATLAKES
08954 Other - BLUE CROSS PRIMARY
138129 Other - CARE CHOICES
09457 Other - FED BLUE CROSS SECONDARY
3194098 Medicaid MI -
P09457 Other - BLUE CARE NETWORK

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

Who is the authorized official for Northwest Detroit Dialysis Center, LLC?
NPPES lists David Shepherd (Vice President) as the authorized official for this organization.
What is the NPI number for Northwest Detroit Dialysis Center, LLC?
The NPI for Northwest Detroit Dialysis Center, LLC is 1083634471, a Type 2 (organization) record in the CMS NPPES registry.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2015-03-04.