NPIMap

Organization Active NPI

Cleveland Renal Assoc., LTD.

  • Nephrology Physician
  • Independence, OH
National Provider Identifier
1033258256
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
35. 035375 Issued in OH
Legal business name
CLEVELAND RENAL ASSOC., LTD.
Practice address
6701 Rockside Rd
Suite 365
Independence, OH 44131-2358
Phone
(216) 901-5706
Fax
(216) 901-6201
NPI assigned
Feb 5, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Nezar Rahim, M.D.
Title
Physician
Phone
(216) 901-5706

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RN0300X 35. 035375 OH Primary

Addresses

Primary practice location

6701 Rockside Rd
Suite 365
Independence, OH 44131-2358

Mailing address

6701 Rockside Rd
Suite 365
Independence, OH 44131-2358
Phone (216) 901-5706

Other identifiers 3

IdentifierTypeStateIssuer
0206753MedicaidOH
0260239MedicaidOH
0791657MedicaidOH

Other names 1

  • Cleveland Renal Assoc., LTD. Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1170633600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1033258256",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6701 ROCKSIDE RD",
            "address_2": "SUITE 365",
            "city": "INDEPENDENCE",
            "state": "OH",
            "postal_code": "441312358",
            "telephone_number": "216-901-5706",
            "fax_number": "216-901-6201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6701 ROCKSIDE RD",
            "address_2": "SUITE 365",
            "city": "INDEPENDENCE",
            "state": "OH",
            "postal_code": "441312358",
            "telephone_number": "216-901-5706",
            "fax_number": "216-901-6201"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLEVELAND RENAL ASSOC., LTD.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-05",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "RAHIM",
        "authorized_official_first_name": "NEZAR",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "216-901-5706",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Nephrology",
            "state": "OH",
            "license": "35. 035375",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0206753",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0260239",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0791657",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Cleveland Renal Assoc., LTD.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Independence, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.