Organization Active NPI

Hypertension Kidney and Stone Center, LLC

  • Nephrology Physician
  • Zephyrhills, FL
National Provider Identifier
1134679293
Registry record updated Dec 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
ME104902 Issued in FL
Legal business name
HYPERTENSION KIDNEY AND STONE CENTER, LLC
Practice address
5344 9TH St Ste 107
Zephyrhills, FL 33542-4348
Phone
(813) 724-3868
Fax
(813) 724-3992
NPI assigned
Oct 12, 2016
Last updated
Dec 17, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 17, 2024

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

Authorized official

Name
George S Muthalakuzhy, MDNPI 1689769044
Title
President/Provider
Phone
(813) 724-3868

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 ME104902 FL Primary

Addresses

Primary practice location

5344 9TH St Ste 107
Zephyrhills, FL 33542-4348

Mailing address

PO Box 2619
Zephyrhills, FL 33539-2619
Phone (813) 724-3868

Other practice location 1

14502 N Dale Mabry Hwy Ste 200
Tampa, FL 33618-2040
Phone (813) 724-3868

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address hks@ppdxdirect.com Direct

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20161119000218 FL Part B Supplier - Clinic/Group Practice 7810276540 Receives reassigned benefits from 2 practitioners
Practice locations: Tampa, FL; Zephyrhills, FL

National Provider Directory

National Provider Directory

Locations

12811 N Nebraska Ave
Ste I
Tampa, FL 33612

14502 N Dale Mabry Hwy
Tampa, FL 33618
Phone (813) 265-3476

14502 N Dale Mabry Hwy
Ste 200
Tampa, FL 33618
Phone (813) 724-3868

14502 N Dale Mabry Hwy
Ste 20049
Tampa, FL 33618

5344 9th St
Ste 107
Zephyrhills, FL 33542
Phone (813) 724-3868

6719 Gall Blvd
Ste 201
Zephyrhills, FL 33542
Phone (813) 724-3868

Interoperability endpoints

  • Direct secure messaging: hks@ppdxdirect.com

Practitioners & affiliated clinicians

Practitioners 4

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": "1476230400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1734393600000",
    "number": "1134679293",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2619",
            "city": "ZEPHYRHILLS",
            "state": "FL",
            "postal_code": "335392619",
            "telephone_number": "813-724-3868",
            "fax_number": "813-724-3992"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5344 9TH ST STE 107",
            "city": "ZEPHYRHILLS",
            "state": "FL",
            "postal_code": "335424348",
            "telephone_number": "813-724-3868",
            "fax_number": "813-724-3992"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "14502 N Dale Mabry Hwy Ste 200",
            "address_purpose": "LOCATION",
            "city": "Tampa",
            "state": "FL",
            "postal_code": "336182040",
            "country_code": "US",
            "telephone_number": "813-724-3868",
            "fax_number": "813-724-3992",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "HYPERTENSION KIDNEY AND STONE CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-10-12",
        "last_updated": "2024-12-17",
        "certification_date": "2024-12-17",
        "status": "A",
        "authorized_official_last_name": "MUTHALAKUZHY",
        "authorized_official_first_name": "GEORGE",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "PRESIDENT/PROVIDER",
        "authorized_official_telephone_number": "813-724-3868",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "FL",
            "license": "ME104902",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "hks@ppdxdirect.com",
            "affiliation": "N",
            "endpointDescription": "Direct Message",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Email",
            "address_1": "5344 9th St Ste 107",
            "city": "Zephyrhills",
            "state": "FL",
            "country_code": "US",
            "postal_code": "335424348",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Zephyrhills, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2024; 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.