Organization Active NPI

Nephrology and Hypertension Associates

  • Nephrology Physician
  • Columbia, MO
National Provider Identifier
1073519898
Registry record updated Oct 31, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
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, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 31, 2023

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
507480226MedicaidMO
CH1443OtherMORAILROAD MEDICARE

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address NHA@nhacolumbia.ssdirect.aprima.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO4 enrollments

Enrollment records 4

Enrollment IDStateProvider typePAC IDDetails
O20040407001053 MO Part B Supplier - Clinic/Group Practice 9830182534 Receives reassigned benefits from 5 practitioners
1 other NPI on this enrollment
Practice locations: Boonville, MO; Columbia, MO; Macon, MO; Moberly, MO
O20040407001098 MO Part B Supplier - Clinic/Group Practice 9830182534 Receives reassigned benefits from 5 practitioners
Practice locations: Columbia, MO; Kirksville, MO
O20040414001160 MO Part B Supplier - Clinic/Group Practice 9830182534 Receives reassigned benefits from 5 practitioners
Practice locations: Columbia, MO; Mexico, MO; Sedalia, MO
O20090317000627 MO Part B Supplier - Clinic/Group Practice 9830182534 Receives reassigned benefits from 2 practitioners
Practice locations: Mexico, MO; Marshall, MO

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
26D2299401Nephrology & Hypertension Associates, LLP1205 W Broadway, Columbia, MO 65203Certificate of waiverFeb 19, 2028

National Provider Directory

National Provider Directory

Locations

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

  • Direct secure messaging: 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.

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.

Verify at the official NPI Registry.