Active NPI
Nagraj Narasimhan, M.D.
- Nephrology Physician
- Twin Falls, ID
National Provider Identifier
1063449221
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nephrology Physician
- License
- M5063
- Practice address
- 350 N Haven Dr
Twin Falls, ID 83301-5788 - Phone
- (208) 904-4780
- Fax
- (208) 904-4832
- NPI assigned
- Jun 26, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nephrology Physician | 207RN0300X | M5063 | ID | Primary |
Addresses
Primary practice location
350 N Haven Dr
Twin Falls, ID 83301-5788
Mailing address
PO Box 268934
Oklahoma City, OK 73126-8934
Phone (208) 904-4780
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P00431118 | Other | ID | RR MEDICARE |
| 001835200 | Medicaid | ID |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| M5063 | ID | MD | Nephrology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| St Luke'S Magic Valley Regional Medical Center LTD | Past | Accepting new patients |
Interoperability endpoints
- nagrajnarasimhan@ikillp.allscriptsdirect.net
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Community/Retail Pharmacy
- Twin Falls, ID
- NPI 1760203921
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151280000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1617840000000",
"number": "1063449221",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 268934",
"city": "OKLAHOMA CITY",
"state": "OK",
"postal_code": "731268934",
"telephone_number": "208-904-4780",
"fax_number": "208-904-4832"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "350 N HAVEN DR",
"city": "TWIN FALLS",
"state": "ID",
"postal_code": "833015788",
"telephone_number": "208-904-4780",
"fax_number": "208-904-4832"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NARASIMHAN",
"first_name": "NAGRAJ",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-26",
"last_updated": "2021-04-08",
"certification_date": "2021-04-08",
"status": "A"
},
"taxonomies": [
{
"code": "207RN0300X",
"taxonomy_group": "",
"desc": "Internal Medicine, Nephrology",
"state": "ID",
"license": "M5063",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MEDICARE",
"identifier": "P00431118",
"state": "ID"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "001835200",
"state": "ID"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Twin Falls, ID
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 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.