Advanced Kidney Care of Central

Primary specialty

Nephrology PhysicianTaxonomy code 207RN0300X

License

ME101771 Issued in FL

Legal business name

ADVANCED KIDNEY CARE OF CENTRAL

Practice address

3175 Citrus Tower Blvd
Clermont, FL 34711-6803

Phone

(612) 396-8602

NPI assigned

Jul 19, 2010

Last updated

Jan 12, 2012By 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

Bao Long Huynh, MDNPI 1902979594

Title

President

Phone

(612) 396-8602

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Locations

Practitioners 6

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.

• Bao L Huynh, MD

  • Nephrology Physician
  • Clermont, FL
  • NPI 1902979594
  Medicare reassignment Care Compare group NPD Authorized official
• Usman Lone, M.D.

  • Nephrology Physician
  • Clermont, FL
  • NPI 1740442755
  Medicare reassignment Care Compare group NPD
• Mohammed Said Malas, M.D.

  • Nephrology Physician
  • Clermont, FL
  • NPI 1215249966

  Internal Medicine

  Medicare reassignment Care Compare group NPD
• Palak Patel

  • Family Nurse Practitioner
  • Orlando, FL
  • NPI 1164958112
  Medicare reassignment Care Compare group NPD
• Milton Francois Ray, M.D.

  • Nephrology Physician
  • Clermont, FL
  • NPI 1801248216
  Medicare reassignment Care Compare group NPD
• Saritha Kumari Kesanolla, MD

  • Internal Medicine Physician
  • Newark, DE
  • NPI 1265791313
  NPD

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

{
    "created_epoch": "1279497600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1326326400000",
    "number": "1144533175",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3175 CITRUS TOWER BLVD",
            "city": "CLERMONT",
            "state": "FL",
            "postal_code": "347116803",
            "telephone_number": "352-240-3812"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3175 CITRUS TOWER BLVD",
            "city": "CLERMONT",
            "state": "FL",
            "postal_code": "347116803",
            "telephone_number": "612-396-8602"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED KIDNEY CARE OF CENTRAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-07-19",
        "last_updated": "2012-01-12",
        "status": "A",
        "authorized_official_last_name": "HUYNH",
        "authorized_official_first_name": "BAO",
        "authorized_official_middle_name": "LONG",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "612-396-8602",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME101771",
            "primary": false
        },
        {
            "code": "207RN0300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Nephrology",
            "state": "FL",
            "license": "ME101771",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Advanced Faces, LLC
• Advanced Imaging Center of Clermont, Inc.
• Advanced Imaging Center of Leesburg,LLC (Advanced Imaging Center of Clermont)
• Advanced Infectious Diseases &Wound Care Specialist LLC
• Advanced Integrated Pain & Spine Solutions
• Advanced Practitioner Services
• Advanced Practitioner Services LLC
• Advanced Speech & Rehab Services, LLC
• Adventist Health System /Sunbelt, Inc. (AdventHealth Centra Care - Clermont Highway 50)
• Adventist Health System Sunbelt, Inc (AdventHealth Primary Care Plus - Clermont Highway 50)

• Nephrology Physician in Clermont, FL
• Providers in Clermont, FL by specialty
• Nephrology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2012; 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.