Az Kidney Dr LLC

Primary specialty

Nephrology PhysicianTaxonomy code 207RN0300X

Legal business name

AZ KIDNEY DR LLC

Practice address

436 E Southern Ave
Tempe, AZ 85282-5216

Phone

(480) 336-2039

Fax

(602) 207-8899

NPI assigned

Aug 8, 2022

Organization subpart

No

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

Authorized official

Name

Kussay Alsamkari, MD

Title

Owner

Phone

(602) 741-5504

Specialties & licenses 1

Addresses

Member of 2

Organizations this organization is a member of, according to the National Provider Directory.

• Kidney Guardian

  • Nephrology Physician
  • Tempe, AZ
  • NPI 1013475326

  Member Of

  NPD member
• Ur Doc, LLC

  • Nephrology Physician
  • Tempe, AZ
  • NPI 1619598398

  Member Of

  NPD member

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

{
    "created_epoch": "1659916800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1659916800000",
    "number": "1114654274",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "436 E SOUTHERN AVE",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "852825216",
            "telephone_number": "480-336-2039",
            "fax_number": "602-207-8899"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "436 E SOUTHERN AVE",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "852825216",
            "telephone_number": "480-336-2039",
            "fax_number": "602-207-8899"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AZ KIDNEY DR LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-08-08",
        "last_updated": "2022-08-08",
        "certification_date": "2022-08-08",
        "status": "A",
        "authorized_official_last_name": "ALSAMKARI",
        "authorized_official_first_name": "KUSSAY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "602-741-5504",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Nephrology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Nephrology Physician in Tempe, AZ
• Providers in Tempe, AZ by specialty
• Nephrology Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.