Organization Active NPI

Renal Specialists of Naples Inc

  • Nephrology Physician
  • Naples, FL
National Provider Identifier
1073701934
Registry record updated Jan 28, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
ME79489 Issued in FL
Legal business name
RENAL SPECIALISTS OF NAPLES INC
Practice address
661 Goodlette Rd N Ste 104
Naples, FL 34102-5609
Phone
(239) 649-4565
Fax
(239) 649-4284
NPI assigned
Oct 4, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 28, 2008

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

Authorized official

Name
Joji Urlanda, M.D.NPI 1669539409
Title
President
Phone
(239) 649-4565

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RN0300X ME79489 FL Primary

Addresses

Primary practice location

661 Goodlette Rd N Ste 104
Naples, FL 34102-5609

Mailing address

PO Box 111089
Naples, FL 34108-0119
Phone (239) 649-4565

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040520000810 FL Part B Supplier - Clinic/Group Practice 6002807807 Receives reassigned benefits from 1 practitioner
Practice locations: Bonita Springs, FL; Naples, FL

National Provider Directory

National Provider Directory

Locations

9530 Bonita Beach Rd SE
Ste 103
Bonita Springs, FL 34135
Phone (239) 649-4565

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1191456000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1201478400000",
    "number": "1073701934",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 111089",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341080119",
            "telephone_number": "239-649-4565",
            "fax_number": "239-649-4284"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "661 GOODLETTE RD N STE 104",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341025609",
            "telephone_number": "239-649-4565",
            "fax_number": "239-649-4284"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RENAL SPECIALISTS OF NAPLES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-04",
        "last_updated": "2008-01-28",
        "status": "A",
        "authorized_official_last_name": "URLANDA",
        "authorized_official_first_name": "JOJI",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "239-649-4565",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Nephrology",
            "state": "FL",
            "license": "ME79489",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Naples, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2008; 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.