Organization Active NPI

Renal & Transplant Assoc of the Northeast PC

  • Nephrology Physician
  • Springfield, MA
National Provider Identifier
1114703766
Registry record updated Aug 25, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
Legal business name
RENAL & TRANSPLANT ASSOC OF THE NORTHEAST PC
Practice address
3550 Main St Ste 204
Springfield, MA 01107-1078
Phone
(413) 867-2500
Fax
(413) 867-2555
NPI assigned
Sep 7, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 25, 2026

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

Authorized official

Name
Mr. Shawn Killin
Title
Cao
Phone
(413) 867-2501

Specialties & licenses 1

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

Addresses

Primary practice location

3550 Main St Ste 204
Springfield, MA 01107-1078

Mailing address

3550 Main St Ste 204
Springfield, MA 01107-1078
Phone (413) 867-2500

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240223000232 MA Part B Supplier - Clinic/Group Practice 2860836327 Receives reassigned benefits from 7 practitioners
Practice locations: Springfield, MA

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
22D2317993Renal and Transplant Associates of the Northeast3550 Main Street, Springfield, MA 01107Certificate of waiverFeb 3, 2027

National Provider Directory

National Provider Directory

Locations

10 Hospital Dr
Ste 309
Holyoke, MA 01040
Phone (413) 535-3155

3550 Main St
Ste 204
Springfield, MA 01107
Phone (413) 733-2204

3550 Main St
Ste 205
Springfield, MA 01107

Practitioners & affiliated clinicians

Practitioners 7

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": "1694044800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1787616000000",
    "number": "1114703766",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3550 MAIN ST STE 204",
            "city": "SPRINGFIELD",
            "state": "MA",
            "postal_code": "011071078",
            "telephone_number": "413-867-2500",
            "fax_number": "413-867-2555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3550 MAIN ST STE 204",
            "city": "SPRINGFIELD",
            "state": "MA",
            "postal_code": "011071078",
            "telephone_number": "413-867-2500",
            "fax_number": "413-867-2555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RENAL & TRANSPLANT ASSOC OF THE NORTHEAST PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-09-07",
        "last_updated": "2026-08-25",
        "certification_date": "2026-08-25",
        "status": "A",
        "authorized_official_last_name": "KILLIN",
        "authorized_official_first_name": "SHAWN",
        "authorized_official_title_or_position": "CAO",
        "authorized_official_telephone_number": "413-867-2501",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Nephrology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Springfield, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.