Organization Active NPI

Comprehensive Nephrology Specialist, LLC

  • Nephrology Physician
  • Hialeah, FL
National Provider Identifier
1194264762
Registry record updated Mar 24, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
ME98083 Issued in FL
Legal business name
COMPREHENSIVE NEPHROLOGY SPECIALIST, LLC
Practice address
7170 W 20TH Ave
Hialeah, FL 33016-1849
Phone
(954) 947-7545
Fax
(954) 301-3770
NPI assigned
Feb 16, 2017
Last updated
Mar 24, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 24, 2017

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

Authorized official

Name
Dr. Farhan Abid, M.D.NPI 1003077421
Title
Owner
Phone
(954) 947-7545

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 ME98083 FL Primary

Addresses

Primary practice location

7170 W 20TH Ave
Hialeah, FL 33016-1849

Mailing address

PO Box 824097
Pembroke Pines, FL 33082-4097
Phone (954) 947-7545

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20171030001819 FL Part B Supplier - Clinic/Group Practice 5496021826 Receives reassigned benefits from 2 practitioners
Practice locations: Aventura, FL; South Miami, FL; Palmetto Bay, FL; North Miami Beach, FL; Miami, FL

National Provider Directory

National Provider Directory

Networks

  • HealthSun Health Plans Network

Practitioners & affiliated clinicians

Practitioners 3

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": "1487203200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1490313600000",
    "number": "1194264762",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 824097",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330824097",
            "telephone_number": "954-947-7545",
            "fax_number": "954-301-3770"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7170 W 20TH AVE",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330161849",
            "telephone_number": "954-947-7545",
            "fax_number": "954-301-3770"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMPREHENSIVE NEPHROLOGY SPECIALIST, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-02-16",
        "last_updated": "2017-03-24",
        "status": "A",
        "authorized_official_last_name": "ABID",
        "authorized_official_first_name": "FARHAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "954-947-7545",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "FL",
            "license": "ME98083",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hialeah, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2017; 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.