Valley Kidney Center Inc

Primary specialty

Nephrology PhysicianTaxonomy code 207RN0300X

Legal business name

VALLEY KIDNEY CENTER INC

Practice address

13943 N 91St Ave
Ste H101
Peoria, AZ 85381-3689

Phone

(623) 977-1331

Fax

(623) 977-1449

NPI assigned

May 23, 2006

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Bahadur Samra

Title

Administrator

Phone

(602) 564-0047

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Shailesh J Patel, D.O.

  • Nephrology Physician
  • Tempe, AZ
  • NPI 1144274861
  NPD (past)
• Anup Rai, M.D.

  • Nephrology Physician
  • Tempe, AZ
  • NPI 1316992043
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1148342400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1338508800000",
    "number": "1013962729",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5150 N 16TH ST",
            "address_2": "STE B232",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850163990",
            "telephone_number": "623-977-1331",
            "fax_number": "623-977-1449"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13943 N 91ST AVE",
            "address_2": "STE H101",
            "city": "PEORIA",
            "state": "AZ",
            "postal_code": "853813689",
            "telephone_number": "623-977-1331",
            "fax_number": "623-977-1449"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VALLEY KIDNEY CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-23",
        "last_updated": "2012-06-01",
        "status": "A",
        "authorized_official_last_name": "SAMRA",
        "authorized_official_first_name": "BAHADUR",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "602-564-0047"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Nephrology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "333266",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Valley Direct Primary Care, PLLC
• Valley Healthcare
• Valley Integrated LLC
• Valley Integrated Wellness LLC
• Valley Internal Medicine Associates, PLLC
• Valley Kidney Institute LLC
• Valley of the Sun Pediatrics, P.C.
• Valley Orthodontic Group/ Peoria P.L.L.C.
• Valley Pain Centers of Arizona, LLC
• Valley Rehabilitation Partners LLC

• Nephrology Physician in Peoria, AZ
• Providers in Peoria, AZ by specialty
• Nephrology Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.