NPIMap

Individual provider Active NPI

Nilesh Suresh Mhaskar, MD

  • Nephrology Physician
  • Kettering, OH
National Provider Identifier
1104816586
Registry record updated Dec 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
35.090016 Issued in OH
Practice address
500 Lincoln Park Blvd
Suite 100
Kettering, OH 45429-6410
Phone
(937) 222-3118
Fax
(937) 222-1436
NPI assigned
Oct 26, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 19, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X 35.090016 OH Primary

Addresses

Primary practice location

500 Lincoln Park Blvd
Suite 100
Kettering, OH 45429-6410

Mailing address

500 Lincoln Park Blvd
Suite 100
Kettering, OH 45429-6410
Phone (937) 222-3118

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070710000005 OH Practitioner - Internal MedicinePractitioner - Nephrology 1355254111 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Nephrology
Education
University of Southern California Keck School of Medicine, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Renal Physicians IncGroup PAC ID 5193624161, 29 clinicians

Practice addresses (Care Compare)

500 Lincoln Park Blvd
Suite 100
Kettering, OH 45429-6410
Phone (937) 222-3118

Hospital & facility affiliations

  • DaVita Darke County Dialysis Dialysis facility, Greenville, OH, CCN 362659
  • DaVita Pike Place Dialysis Dialysis facility, Kettering, OH, CCN 722502
  • DaVita Buckeye Dialysis Dialysis facility, Kettering, OH, CCN 362792
  • DaVita Eaton Dialysis Dialysis facility, Eaton, OH, CCN 362703
  • Miami Valley Hospital Hospital, Dayton, OH, CCN 360051
  • Kettering Health Dayton Hospital, Dayton, OH, CCN 360133
  • Wayne Hospital Hospital, Greenville, OH, CCN 361335
  • Kettering Health Main Campus Hospital, Kettering, OH, CCN 360079
  • Kettering Health Miamisburg Hospital, Miamisburg, OH, CCN 360239

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Renal Physicians Inc Nephrology CurrentSince Jul 2, 2007 Accepting new patients

Locations

1 Elizabeth Pl
Ste 190
Dayton, OH 45417
Phone (937) 222-3118

455 Turner Rd
Dayton, OH 45415
Phone (937) 294-6711

742 Sweitzer St
Ste 2B
Greenville, OH 45331
Phone (937) 459-5375

742 Sweitzer St
Ste 2
Greenville, OH 45331
Phone (937) 335-0061

500 Lincoln Park Blvd
Ste 100
Kettering, OH 45429
Phone (937) 222-3118

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 9

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1130284800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1734566400000",
    "number": "1104816586",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 LINCOLN PARK BLVD",
            "address_2": "SUITE 100",
            "city": "KETTERING",
            "state": "OH",
            "postal_code": "454296410",
            "telephone_number": "937-222-3118",
            "fax_number": "937-222-1436"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 LINCOLN PARK BLVD",
            "address_2": "SUITE 100",
            "city": "KETTERING",
            "state": "OH",
            "postal_code": "454296410",
            "telephone_number": "937-222-3118",
            "fax_number": "937-222-1436"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MHASKAR",
        "first_name": "NILESH",
        "middle_name": "SURESH",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-26",
        "last_updated": "2024-12-19",
        "certification_date": "2024-12-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "OH",
            "license": "35.090016",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kettering, OH

Sources for this page

Verify at the official NPI Registry.