Organization Active NPI

Nephrology Associates of Zanesville, Inc.

  • Nephrology Physician
  • Circleville, OH
National Provider Identifier
1023083821
Registry record updated Oct 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
Legal business name
NEPHROLOGY ASSOCIATES OF ZANESVILLE, INC.
Practice address
1171 N Court St
Circleville, OH 43113-1303
Phone
(740) 808-0700
Fax
(740) 477-1315
NPI assigned
Feb 23, 2006
Last updated
Oct 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 22, 2020

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

Authorized official

Name
Dr. Abdus Salam Malik, MDNPI 1497747695
Title
President
Phone
(740) 808-0700

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X NU Primary

Addresses

Primary practice location

1171 N Court St
Circleville, OH 43113-1303

Mailing address

121 W 6TH Ave
Lancaster, OH 43130-2587
Phone (740) 687-5164

Other practice location 1

819 State Route 664 N
Logan, OH 43138-8540
Phone (740) 808-0700

Other practice location 2

135 N Ewing St
Lancaster, OH 43130-3382
Phone (740) 808-0700

Other identifiers 1

IdentifierTypeStateIssuer
2920656MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080722000587 OH Part B Supplier - Clinic/Group Practice 5698709509 Receives reassigned benefits from 1 practitioner
Practice locations: Circleville, OH

National Provider Directory

National Provider Directory

Locations

1280 N Court St
#D
Circleville, OH 43113
Phone (740) 808-0700

121 W 6th Ave
Lancaster, OH 43130
Phone (740) 687-5164

1246 Ashland Ave
Ste 202
Zanesville, OH 43701
Phone (740) 454-8890

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1140652800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1603324800000",
    "number": "1023083821",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "121 W 6TH AVE",
            "city": "LANCASTER",
            "state": "OH",
            "postal_code": "431302587",
            "telephone_number": "740-687-5164",
            "fax_number": "740-654-1417"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1171 N COURT ST",
            "city": "CIRCLEVILLE",
            "state": "OH",
            "postal_code": "431131303",
            "telephone_number": "740-808-0700",
            "fax_number": "740-477-1315"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "819 State Route 664 N",
            "address_purpose": "LOCATION",
            "city": "Logan",
            "state": "OH",
            "postal_code": "431388540",
            "country_code": "US",
            "telephone_number": "740-808-0700",
            "fax_number": "740-477-1315",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "135 N Ewing St",
            "address_purpose": "LOCATION",
            "city": "Lancaster",
            "state": "OH",
            "postal_code": "431303382",
            "country_code": "US",
            "telephone_number": "740-808-0700",
            "fax_number": "740-477-1315",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "NEPHROLOGY ASSOCIATES OF ZANESVILLE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-02-23",
        "last_updated": "2020-10-22",
        "certification_date": "2020-10-22",
        "status": "A",
        "authorized_official_last_name": "MALIK",
        "authorized_official_first_name": "ABDUS",
        "authorized_official_middle_name": "SALAM",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "740-808-0700",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2920656",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Circleville, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.