Charlotte Nephrology Associates PA

Primary specialty

Nephrology PhysicianTaxonomy code 207RN0300X

Legal business name

CHARLOTTE NEPHROLOGY ASSOCIATES PA

Practice address

3300 Tamiami TRL
Ste 101a
Port Charlotte, FL 33952-8054

Phone

(941) 629-4676

Fax

(941) 629-1522

NPI assigned

May 18, 2006

Last updated

Mar 25, 2010By 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

Lalita Thatte, MDNPI 1982651337

Title

Vice President

Phone

(941) 629-4676

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

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

CLIA laboratory certificates

Tax ID family

Charlotte Nephrology Associates PA3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

• Charlotte Nephrology Associates, P.a.

  • Nephrology Physician
  • Arcadia, FL
  • NPI 1831412451
  NPD tax ID
• Charlotte Nephrology Associates, PA

  • Nephrology Physician
  • North Port, FL
  • NPI 1790002756
  NPD tax ID

Locations

Interoperability endpoints

• FHIR API: https://fhir-api.fhirprod.aws.greenwayhealth.com/fhir/R4/2.16.840.1.113883.3.140.72796

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.

• Lalita Thatte, MD

  • Nephrology Physician
  • Port Charlotte, FL
  • NPI 1982651337
  Medicare reassignment Care Compare group NPD Authorized official
• Jaideep Hingorani

  • Nephrology Physician
  • Port Charlotte, FL
  • NPI 1003023581
  Medicare reassignment Care Compare group NPD
• Louis Damian, MD

  • Nephrology Physician
  • Glasgow, KY
  • NPI 1033612718

  FL

  Medicare reassignment Care Compare group NPD
• Graciela O Deboccardo, MD

  • Nephrology Physician
  • Port Charlotte, FL
  • NPI 1609892553
  Medicare reassignment Care Compare group

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

{
    "created_epoch": "1147910400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1269475200000",
    "number": "1144273541",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3300 TAMIAMI TRAIL",
            "address_2": "SUITE 101A",
            "city": "PORT CHARLOTTE",
            "state": "FL",
            "postal_code": "339528054",
            "telephone_number": "941-629-4676",
            "fax_number": "941-629-1522"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3300 TAMIAMI TRL",
            "address_2": "STE 101A",
            "city": "PORT CHARLOTTE",
            "state": "FL",
            "postal_code": "339528054",
            "telephone_number": "941-629-4676",
            "fax_number": "941-629-1522"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHARLOTTE NEPHROLOGY ASSOCIATES PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-18",
        "last_updated": "2010-03-25",
        "status": "A",
        "authorized_official_last_name": "THATTE",
        "authorized_official_first_name": "LALITA",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "941-629-4676",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Nephrology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "251353600",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Charlotte Heart & Vascular Center
• Charlotte Heart and Vascular Institute PA
• Charlotte Heart Pharmacy LLC
• Charlotte Integrative Medicine
• Charlotte Internal Medicine Associates, P.a.
• Charlotte Optical Inc
• Charlotte Orthopaedic Clinic Professional Association
• Charlotte Pain Center Inc
• Charlotte Pain Clinic Incorporated
• Charlotte Pain Management Center Inc

• Nephrology Physician in Port Charlotte, FL
• Providers in Port Charlotte, FL by specialty
• Nephrology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2010; 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.