Active NPI
Hypertension and Kidney Center, P.C.
- Nephrology Physician
- S Weymouth, MA
National Provider Identifier
1053506444
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nephrology Physician
- License
- 38013
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Nephrology Physician | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 9724001 | Medicaid | MA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MA
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
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.
-
- Nephrology Physician
- South Weymouth, MA
- NPI 1407896939
-
- Nurse Practitioner
- South Weymouth, MA
- NPI 1063711414
-
- Nurse Practitioner
- Quincy, MA
- NPI 1508083213
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.