Southwest Kidney Institute Vascular Center LLC

Primary specialty

Nephrology PhysicianTaxonomy code 207RN0300X

Legal business name

SOUTHWEST KIDNEY INSTITUTE VASCULAR CENTER LLC

Practice address

1100 E University Dr
Tempe, AZ 85281-8401

Phone

(602) 277-4429

NPI assigned

Feb 16, 2011

Last updated

Jul 14, 2011By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Randy Cooper, MDNPI 1154316495

Title

President

Phone

(602) 277-4429

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AZ

Enrollment records 1

Locations

Practitioners 15

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.

• Randy I Cooper, M.D.

  • Nephrology Physician
  • Peoria, AZ
  • NPI 1154316495
  Medicare reassignment Care Compare group NPD Authorized official
• Usama Abdalla Elewa, MD, MSC, PHD

  • Nephrology Physician
  • Phoenix, AZ
  • NPI 1952959033
  Medicare reassignment Care Compare group NPD
• Aslam Pervez, M.D.

  • Nephrology Physician
  • Phoenix, AZ
  • NPI 1083651210
  Medicare reassignment Care Compare group NPD
• Salaheddine Tomeh, MD

  • Vascular Surgery Physician
  • Peoria, AZ
  • NPI 1083646574
  Medicare reassignment Care Compare group NPD
• Umar Waheed, MD

  • Nephrology Physician
  • Peoria, AZ
  • NPI 1285689968
  Medicare reassignment Care Compare group NPD
• Moiz Mohammad Dawood

  • Nephrology Physician
  • Henderson, NV
  • NPI 1407240716

  AZ

  Medicare reassignment Care Compare group
• Gabriel El-Kass, M.D.

  • Internal Medicine Physician
  • Tucson, AZ
  • NPI 1821295353

  Nephrology

  Medicare reassignment NPD
• Lannery Sioeli Lauvao, MD

  • Vascular Surgery Physician
  • Glendale, AZ
  • NPI 1124242029
  Medicare reassignment NPD
• Akbar Khan, MD

  • Nephrology Physician
  • Peoria, AZ
  • NPI 1942788385
  Medicare reassignment NPD (past)
• Saeb Bayazid, MD

  • Surgery Physician
  • Phoenix, AZ
  • NPI 1295721751
  Medicare reassignment
• Pradeep Mehra, M.D.

  • Nephrology Physician
  • Tempe, AZ
  • NPI 1447299474
  NPD
• Ankur Ashok Patel, D.O., M. H. A.

  • Nephrology Physician
  • Phoenix, AZ
  • NPI 1043405301
  NPD (past)

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

{
    "created_epoch": "1297814400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1310601600000",
    "number": "1134426893",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2620 N 3RD ST",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850041153",
            "telephone_number": "602-277-4429"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 E UNIVERSITY DR",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "852818401",
            "telephone_number": "602-277-4429"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHWEST KIDNEY INSTITUTE VASCULAR CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-02-16",
        "last_updated": "2011-07-14",
        "status": "A",
        "authorized_official_last_name": "COOPER",
        "authorized_official_first_name": "RANDY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "602-277-4429",
        "authorized_official_name_prefix": "Dr.",
        "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": []
}

• Southwest Dental Group, Esq.
• Southwest Family Naturopathic Clinic PLLC
• Southwest GD Dental Corp (Southwest Dental Center)
• Southwest Kidney Davita Dialysis Partners LLC (Tempe Dialysis Center)
• Southwest Kidney Dialysis, LLC
• Southwest Kidney Institute, PLC
• Southwest Pathology PLLC
• Southwest Perfusion, Inc.
• Southwest Primary Care
• Southwest Spine & Rehab Tempe LLC

• 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 Jul 14, 2011; 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.