Active NPI
Nephrology and Hypertension Associates
- Nephrology Physician
- Columbia, MO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nephrology Physician
- Legal business name
- NEPHROLOGY AND HYPERTENSION ASSOCIATES
- Practice address
- 1205 W Broadway
Columbia, MO 65203-2125 - Phone
- (573) 499-0642
- Fax
- (573) 449-1787
- NPI assigned
- Jun 27, 2005
- Last updated
- Oct 31, 2023
- 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
- Pamela S Dodge, MBA
- Title
- Practice Administrator
- Phone
- (573) 499-0642
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Endocrinology, Diabetes & Metabolism Physician | 207RE0101X | |||
| Nephrology Physician | 207RN0300X | Primary |
Addresses
Primary practice location
1205 W Broadway
Columbia, MO 65203-2125
Mailing address
1205 W Broadway
Columbia, MO 65203-2125
Phone (573) 449-4936
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 507480226 | Medicaid | MO | |
| CH1443 | Other | MO | RAILROAD MEDICARE |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | NHA@nhacolumbia.ssdirect.aprima.com | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MO
Enrollment records 4
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 26D2299401 | Nephrology & Hypertension Associates, LLP | Certificate of waiver | Feb 19, 2028 |
National Provider Directory
National Provider DirectoryLocations
1205 W Broadway
Columbia, MO 65203
Phone 57349906427111
600 Rosewood Dr
Kirksville, MO 63501
Phone (217) 214-6260
1511 Union Ave
Moberly, MO 65270
Phone (660) 236-1611
950 Mitchell Rd
Sedalia, MO 65301
Phone (660) 826-0566
Interoperability endpoints
- nha@nhacolumbia.ssdirect.aprima.com
Practitioners & affiliated clinicians
Practitioners 8
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.
-
- Nephrology Physician
- Columbia, MO
- NPI 1255337390
-
- Nephrology Physician
- Columbia, MO
- NPI 1720012628
-
- Nurse Practitioner
- Columbia, MO
- NPI 1609186477
-
- Nephrology Physician
- Columbia, MO
- NPI 1366448425
-
- Nephrology Physician
- Columbia, MO
- NPI 1316943475
-
- Endocrinology, Diabetes & Metabolism Physician
- Ogden, UT
- NPI 1255379970
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1119830400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1698710400000",
"number": "1073519898",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1205 W BROADWAY",
"city": "COLUMBIA",
"state": "MO",
"postal_code": "652032125",
"telephone_number": "573-449-4936",
"fax_number": "573-449-6795"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1205 W BROADWAY",
"city": "COLUMBIA",
"state": "MO",
"postal_code": "652032125",
"telephone_number": "573-499-0642",
"fax_number": "573-449-1787"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NEPHROLOGY AND HYPERTENSION ASSOCIATES",
"organizational_subpart": "NO",
"enumeration_date": "2005-06-27",
"last_updated": "2023-10-31",
"certification_date": "2023-10-31",
"status": "A",
"authorized_official_last_name": "DODGE",
"authorized_official_first_name": "PAMELA",
"authorized_official_middle_name": "S",
"authorized_official_title_or_position": "PRACTICE ADMINISTRATOR",
"authorized_official_telephone_number": "573-499-0642",
"authorized_official_credential": "MBA"
},
"taxonomies": [
{
"code": "207RE0101X",
"taxonomy_group": "",
"desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
"state": null,
"license": null,
"primary": false
},
{
"code": "207RN0300X",
"taxonomy_group": "",
"desc": "Internal Medicine, Nephrology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "507480226",
"state": "MO"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "CH1443",
"state": "MO"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "NHA@nhacolumbia.ssdirect.aprima.com",
"affiliation": "N",
"endpointDescription": "Direct Messaging",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "1205 W Broadway",
"city": "Columbia",
"state": "MO",
"country_code": "US",
"postal_code": "652032125",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Columbia, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.