Active NPI
Internal Medicine Nephrology, Inc.
- Nephrology Physician
- Terre Haute, IN
National Provider Identifier
1083662779
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nephrology Physician
- License
- 50001842A
- Legal business name
- INTERNAL MEDICINE NEPHROLOGY, INC.
- Practice address
- 1625 N 4TH St
Terre Haute, IN 47804-4067 - Phone
- (812) 232-8716
- Fax
- (812) 232-7768
- NPI assigned
- May 4, 2006
- 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
- Sisir K Dhar, M.D.
- Title
- President
- Phone
- (812) 232-8716
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nephrology Physician | 207RN0300X | 50001842A | IN | Primary |
Addresses
Primary practice location
1625 N 4TH St
Terre Haute, IN 47804-4067
Mailing address
1625 N 4TH St
Terre Haute, IN 47804-4067
Phone (812) 232-8716
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IN, IL
Enrollment records 2
National Provider Directory
National Provider DirectoryLocations
727 E Court St
Ste O
Paris, IL 61944
1215 N Allen St
Robinson, IL 62454
Phone (618) 544-7092
1215 N Allen St
Ste B
Robinson, IL 62454
Phone (618) 544-7092
1115 E National Ave
Brazil, IN 47834
Phone (812) 232-8716
Practitioners & affiliated clinicians
Practitioners 6
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Medical Physician Assistant
- Terre Haute, IN
- NPI 1699255232
-
- Physician Assistant
- Terre Haute, IN
- NPI 1235685421
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1146700800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1193875200000",
"number": "1083662779",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1625 N 4TH ST",
"city": "TERRE HAUTE",
"state": "IN",
"postal_code": "478044067",
"telephone_number": "812-232-8716",
"fax_number": "812-232-7768"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1625 N 4TH ST",
"city": "TERRE HAUTE",
"state": "IN",
"postal_code": "478044067",
"telephone_number": "812-232-8716",
"fax_number": "812-232-7768"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "INTERNAL MEDICINE NEPHROLOGY, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2006-05-04",
"last_updated": "2007-11-01",
"status": "A",
"authorized_official_last_name": "DHAR",
"authorized_official_first_name": "SISIR",
"authorized_official_middle_name": "K",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "812-232-8716",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207RN0300X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine, Nephrology",
"state": "IN",
"license": "50001842A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Terre Haute, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2007; 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.