Organization Active NPI

Delmarva Kidney & Hypertension Specialists LLC

  • Nephrology Physician
  • Salisbury, MD
National Provider Identifier
1073061842
Registry record updated Feb 16, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
Legal business name
DELMARVA KIDNEY & HYPERTENSION SPECIALISTS LLC
Practice address
560 Riverside Dr Ste A203
Salisbury, MD 21801-4704
Phone
(443) 978-7319
NPI assigned
Sep 21, 2016
Last updated
Feb 16, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 16, 2023

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

Authorized official

Name
Eric Ofori, MDNPI 1104057751
Title
Owner
Phone
(347) 432-7032

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X
Nephrology Physician 207RN0300X Primary

Addresses

Primary practice location

560 Riverside Dr Ste A203
Salisbury, MD 21801-4704

Mailing address

560 Riverside Dr Ste A203
Salisbury, MD 21801-4704

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20241114000980 MD Part B Supplier - Clinic/Group Practice 5890076418 Receives reassigned benefits from 4 practitioners
Practice locations: Salisbury, MD

National Provider Directory

National Provider Directory

Locations

560 Riverside Dr
Ste A230
Salisbury, MD 21801

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/17267/brand/1/csg/1/fhir/r4

Practitioners & affiliated clinicians

Practitioners 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1474416000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1676505600000",
    "number": "1073061842",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "560 RIVERSIDE DR STE A203",
            "city": "SALISBURY",
            "state": "MD",
            "postal_code": "218014704"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "560 RIVERSIDE DR STE A203",
            "city": "SALISBURY",
            "state": "MD",
            "postal_code": "218014704",
            "telephone_number": "443-978-7319"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DELMARVA KIDNEY & HYPERTENSION SPECIALISTS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-09-21",
        "last_updated": "2023-02-16",
        "certification_date": "2023-02-16",
        "status": "A",
        "authorized_official_last_name": "OFORI",
        "authorized_official_first_name": "ERIC",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "347-432-7032",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Salisbury, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 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.