Active NPI
Manatee Kidney Diseases Consultants
- Nephrology Physician
- Bradenton, FL
National Provider Identifier
1043335813
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nephrology Physician
- Legal business name
- MANATEE KIDNEY DISEASES CONSULTANTS
- Practice address
- 3701 Manatee Ave W
Bradenton, FL 34205-1711 - Phone
- (941) 746-5840
- Fax
- (941) 745-3591
- NPI assigned
- Mar 20, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. A Daniel Celaya, MD
- Title
- MD
- Phone
- (941) 746-5840
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nephrology Physician | 207RN0300X | Primary |
Addresses
Primary practice location
3701 Manatee Ave W
Bradenton, FL 34205-1711
Mailing address
3701 Manatee Ave W
Bradenton, FL 34205-1711
Phone (941) 746-5840
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20070723000083 | FL | Part B Supplier - Clinic/Group Practice | 4880795764 |
Receives reassigned benefits from 5 practitioners Practice locations: Bradenton, FL |
National Provider Directory
National Provider DirectoryLocations
3701 Manatee Ave W
Bradenton, FL 34205
Phone (941) 746-2540
Practitioners & affiliated clinicians
Practitioners 6
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Registered Nurse
- Bradenton, FL
- NPI 1780088773
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174348800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1644537600000",
"number": "1043335813",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3701 MANATEE AVE W",
"city": "BRADENTON",
"state": "FL",
"postal_code": "342051711",
"telephone_number": "941-746-5840",
"fax_number": "941-745-3591"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3701 MANATEE AVE W",
"city": "BRADENTON",
"state": "FL",
"postal_code": "342051711",
"telephone_number": "941-746-5840",
"fax_number": "941-745-3591"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MANATEE KIDNEY DISEASES CONSULTANTS",
"organizational_subpart": "NO",
"enumeration_date": "2007-03-20",
"last_updated": "2022-02-11",
"certification_date": "2022-02-11",
"status": "A",
"authorized_official_last_name": "CELAYA",
"authorized_official_first_name": "A",
"authorized_official_middle_name": "DANIEL",
"authorized_official_title_or_position": "MD",
"authorized_official_telephone_number": "941-746-5840",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207RN0300X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine, Nephrology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bradenton, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2022; 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.