Organization Active NPI

Hypertension and Kidney Center, P.C.

  • Nephrology Physician
  • S Weymouth, MA
National Provider Identifier
1053506444
Registry record updated Sep 10, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
38013 Issued in MA
Legal business name
HYPERTENSION AND KIDNEY CENTER, P.C.
Practice address
851 Main St
Suite One
S Weymouth, MA 02190-1612
Phone
(781) 337-6500
Fax
(781) 331-1148
NPI assigned
Sep 10, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 10, 2007

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

Authorized official

Name
Kathleen M Leneweaver
Title
Office Manager
Phone
(781) 337-6500

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RN0300X 38013 MA Primary

Addresses

Primary practice location

851 Main St
Suite One
S Weymouth, MA 02190-1612

Mailing address

851 Main St
Suite One
S Weymouth, MA 02190-1612
Phone (781) 337-6500

Other identifiers 1

IdentifierTypeStateIssuer
9724001MedicaidMA

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20081215000443 MA Part B Supplier - Clinic/Group Practice 9638231376 Receives reassigned benefits from 1 practitioner
Practice locations: South Weymouth, MA

National Provider Directory

National Provider Directory

Locations

330 Libbey Industrial Pkwy
East Weymouth, MA 02189

851 Main St
Ste 1
South Weymouth, MA 02190
Phone (617) 337-6500

Practitioners & affiliated clinicians

Practitioners 3

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

NPI Registry JSON

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

{
    "created_epoch": "1189382400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1189382400000",
    "number": "1053506444",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "851 MAIN ST",
            "address_2": "SUITE ONE",
            "city": "S WEYMOUTH",
            "state": "MA",
            "postal_code": "021901612",
            "telephone_number": "781-337-6500",
            "fax_number": "781-331-1148"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "851 MAIN ST",
            "address_2": "SUITE ONE",
            "city": "S WEYMOUTH",
            "state": "MA",
            "postal_code": "021901612",
            "telephone_number": "781-337-6500",
            "fax_number": "781-331-1148"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HYPERTENSION AND KIDNEY CENTER, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-10",
        "last_updated": "2007-09-10",
        "status": "A",
        "authorized_official_last_name": "LENEWEAVER",
        "authorized_official_first_name": "KATHLEEN",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "781-337-6500"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Nephrology",
            "state": "MA",
            "license": "38013",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9724001",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in S Weymouth, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2007; 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.