Organization Active NPI

Nitho LLC

  • Nephrology Physician
  • Fort Worth, TX
National Provider Identifier
1053073353
Registry record updated Oct 13, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
Legal business name
NITHO LLC
Practice address
1634 Mistletoe Blvd
Fort Worth, TX 76104-4012
Phone
(817) 489-5778
NPI assigned
Oct 13, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 13, 2021

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

Authorized official

Name
Thomas Rajan, MD
Title
Owner
Phone
(888) 212-4243

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RN0300X Primary

Addresses

Primary practice location

1634 Mistletoe Blvd
Fort Worth, TX 76104-4012

Mailing address

PO Box 67
Shannon, AL 35142-0067
Phone (205) 601-1746

Other names 1

  • Thomas Rajan MD Kidney Care Doing business as

National Provider Directory

National Provider Directory

Locations

1634 Mistletoe Blvd
Fort Worth, TX 76104
Phone (214) 461-0543

NPI Registry JSON

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

{
    "created_epoch": "1634083200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1634083200000",
    "number": "1053073353",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 67",
            "city": "SHANNON",
            "state": "AL",
            "postal_code": "351420067",
            "telephone_number": "205-601-1746",
            "fax_number": "205-847-5261"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1634 MISTLETOE BLVD",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761044012",
            "telephone_number": "817-489-5778"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NITHO LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-10-13",
        "last_updated": "2021-10-13",
        "certification_date": "2021-10-13",
        "status": "A",
        "authorized_official_last_name": "RAJAN",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "888-212-4243",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Nephrology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Thomas Rajan MD Kidney Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Fort Worth, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2021; 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.