Renal Physicians Group, LLC

Primary specialty

Nephrology PhysicianTaxonomy code 207RN0300X

License

014342 Issued in LA

Legal business name

RENAL PHYSICIANS GROUP, LLC

Practice address

397 Highway 21
Ste 601
Madisonville, LA 70447-3407

Phone

(985) 845-9000

Fax

(985) 845-9003

NPI assigned

Apr 13, 2007

Organization subpart

No

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

Authorized official

Name

Dr. John E Angelo, M.D.NPI 1538143599

Title

Owner

Phone

(985) 705-3979

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in LA

Enrollment records 1

Locations

Practitioners 1

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

• John Edward Angelo, MD

  • Nephrology Physician
  • Covington, LA
  • NPI 1538143599
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1176422400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1676851200000",
    "number": "1063637478",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "76409 CROCKETT RD",
            "city": "FOLSOM",
            "state": "LA",
            "postal_code": "704373718",
            "telephone_number": "985-705-9020",
            "fax_number": "844-272-9196"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "397 HIGHWAY 21",
            "address_2": "STE 601",
            "city": "MADISONVILLE",
            "state": "LA",
            "postal_code": "704473407",
            "telephone_number": "985-845-9000",
            "fax_number": "985-845-9003"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1970 N Highway 190",
            "address_purpose": "LOCATION",
            "city": "Covington",
            "state": "LA",
            "postal_code": "704335364",
            "country_code": "US",
            "telephone_number": "985-705-9020",
            "fax_number": "844-272-9196",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "RENAL PHYSICIANS GROUP, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-13",
        "last_updated": "2023-02-20",
        "certification_date": "2023-02-20",
        "status": "A",
        "authorized_official_last_name": "ANGELO",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "985-705-3979",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Nephrology",
            "state": "LA",
            "license": "014342",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1314650",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Nephrology Physician in Madisonville, LA
• Providers in Madisonville, LA by specialty
• Nephrology Physician in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2023; 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.