Organization Active NPI

Kidney Plus PLLC

  • Nephrology Physician
  • Hollywood, FL
National Provider Identifier
1093264558
Registry record updated Jan 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
Legal business name
KIDNEY PLUS PLLC
Practice address
3810 Hollywood Blvd Ste 1
Hollywood, FL 33021-6779
Phone
(954) 800-0953
Fax
(954) 800-0956
NPI assigned
Sep 26, 2016
Last updated
Jan 9, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 9, 2025

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

Authorized official

Name
Dr. Abdur Rahman BaigNPI 1063717668
Title
Owner
Phone
(954) 800-0953

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 Physician 207RN0300X Primary

Addresses

Primary practice location

3810 Hollywood Blvd Ste 1
Hollywood, FL 33021-6779

Mailing address

3810 Hollywood Blvd Ste 1
Hollywood, FL 33021-6779
Phone (954) 800-0953

Other identifiers 2

IdentifierTypeStateIssuer
019780300MedicaidFL
DCM9MOtherFLFLORIDA BLUE

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL https://www.kidneyplusfl.com/ Direct

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20170314000880 FL Part B Supplier - Clinic/Group Practice 9436434461 Receives reassigned benefits from 1 practitioner
Practice locations: Hollywood, FL

National Provider Directory

National Provider Directory

Locations

2500 E Hallandale Beach Blvd
Ste 207
Hallandale Beach, FL 33009
Phone (954) 416-2021

3810 Hollywood Blvd
Ste 1
Hollywood, FL 33021
Phone (954) 800-0953

Networks

  • HealthSun Health Plans Network

Practitioners & affiliated clinicians

Practitioners 1

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": "1474848000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1736380800000",
    "number": "1093264558",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3810 HOLLYWOOD BLVD STE 1",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330216779",
            "telephone_number": "954-800-0953",
            "fax_number": "954-800-0956"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3810 HOLLYWOOD BLVD STE 1",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330216779",
            "telephone_number": "954-800-0953",
            "fax_number": "954-800-0956"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KIDNEY PLUS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-09-26",
        "last_updated": "2025-01-09",
        "certification_date": "2025-01-09",
        "status": "A",
        "authorized_official_last_name": "BAIG",
        "authorized_official_first_name": "ABDUR",
        "authorized_official_middle_name": "RAHMAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "954-800-0953",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "019780300",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FLORIDA BLUE",
            "identifier": "DCM9M",
            "state": "FL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "https://www.kidneyplusfl.com/",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "3810 Hollywood Blvd Ste 1",
            "city": "Hollywood",
            "state": "FL",
            "country_code": "US",
            "postal_code": "330216779",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Hollywood, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2025; 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.