Kidney & Hypertension Clinic PLLC

Primary specialty

Nephrology PhysicianTaxonomy code 207RN0300X

Legal business name

KIDNEY & HYPERTENSION CLINIC PLLC

Practice address

1617 E Division St
Mount Vernon, WA 98274-4503

Phone

(360) 424-7400

NPI assigned

Aug 6, 2008

Organization subpart

No

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

Authorized official

Name

Ajith J Kumar, MDNPI 1609952381

Title

Owner

Phone

(360) 424-7400

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in WA, ID2 enrollments

Enrollment records 2

Member organizations 1

Organizations listed as members of this organization in the National Provider Directory.

• Lewis-Clark Kidney Center LLC

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Lewiston, ID
  • NPI 1457749475

  Member Of

  NPD member

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Ajith J Kumar, MD

  • Nephrology Physician
  • Lewiston, ID
  • NPI 1609952381

  WA

  Medicare reassignment Authorized official
• Onder Orgul, MD

  • Nephrology Physician
  • Walla Walla, WA
  • NPI 1932123601
  NPD (past)
• Elizabeth Anne Swift, ARNP

  • Nurse Practitioner
  • Omak, WA
  • NPI 1114233731
  NPD (past)

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

{
    "created_epoch": "1217980800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1229126400000",
    "number": "1174789325",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1617 E DIVISION ST",
            "city": "MOUNT VERNON",
            "state": "WA",
            "postal_code": "982744503",
            "telephone_number": "360-424-7400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1617 E DIVISION ST",
            "city": "MOUNT VERNON",
            "state": "WA",
            "postal_code": "982744503",
            "telephone_number": "360-424-7400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KIDNEY & HYPERTENSION CLINIC PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-08-06",
        "last_updated": "2008-12-13",
        "status": "A",
        "authorized_official_last_name": "KUMAR",
        "authorized_official_first_name": "AJITH",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "360-424-7400",
        "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": []
}

• Brian A. Kendregan, MD
• Sheila M Kenning, ARNP
• Kristi J Kersten-Tenborg
• Mathangi Suresh Keshavan, DO
• Kathleen Sharon Ketcham, M.A.,LMFT
• Peter Euidon Kim, D.D.S.
• Yujin Kim, DO
• Anne P Kinney
• Shaun Evan Kisser, D.P.T.
• Alin Ray Kitchens Jr., LMP

• Nephrology Physician in Mount Vernon, WA
• Providers in Mount Vernon, WA by specialty
• Nephrology Physician in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2008; 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.