Renal Hypertension Clinic

Primary specialty

Nephrology PhysicianTaxonomy code 207RN0300X

Legal business name

RENAL HYPERTENSION CLINIC

Practice address

1540 E Main St
Dothan, AL 36301-3012

Phone

(334) 793-2618

Fax

(334) 792-7353

NPI assigned

Aug 19, 2006

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Ravindranath V. Kantamneni, M.D.NPI 1053361576

Title

Owner/President

Phone

33479326128

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AL

Enrollment records 1

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Dialysis Clinic Inc.

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Enterprise, AL
  • NPI 1669405049

  O20060104000572

  Same enrollment

Tax ID family

Dialysis Clinic Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Dialysis Clinic Inc.

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Enterprise, AL
  • NPI 1669405049
  NPD tax ID

Locations

Interoperability endpoints

• FHIR API: https://fhir-myrecord.cerner.com/r4/1ad2a81d-d102-4f59-a87a-db4fa01056bd/

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Ravindranath V. Kantamneni, M.D.

  • Nephrology Physician
  • Dothan, AL
  • NPI 1053361576
  Medicare reassignment NPD Authorized official
• Jennifer Smith Kirk, CRNP

  • Family Nurse Practitioner
  • Dothan, AL
  • NPI 1033363189
  Medicare reassignment NPD
• Venkat R Nimmagadda, M.D.

  • Nephrology Physician
  • Dothan, AL
  • NPI 1043267917
  Medicare reassignment NPD

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

{
    "created_epoch": "1155945600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1063526663",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1540 E MAIN ST",
            "city": "DOTHAN",
            "state": "AL",
            "postal_code": "363013012",
            "telephone_number": "334-793-2618",
            "fax_number": "334-792-7353"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1540 E MAIN ST",
            "city": "DOTHAN",
            "state": "AL",
            "postal_code": "363013012",
            "telephone_number": "334-793-2618",
            "fax_number": "334-792-7353"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RENAL HYPERTENSION CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-19",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "KANTAMNENI",
        "authorized_official_first_name": "RAVINDRANATH",
        "authorized_official_middle_name": "V.",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "33479326128",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Calvin L. Reid, MD
• Hannah R Reid, CRNA
• Jenny Jackson Reid, CRNP
• Rachel Marie Reinhardt, CCC-SLP
• Relationship Builders, Inc.
• Romualdo B Requijo, CRNA
• Resilience Counseling and Resources, LLC
• Restore Pelvic Health Physical Therapy LLC (Restore Physical Therapy)
• Retina Associates of Alabama, Inc
• Melanie Reynolds

• Nephrology Physician in Dothan, AL
• Providers in Dothan, AL by specialty
• Nephrology Physician in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.