Organization Active NPI

Kidney & Hypertension Specialists PA

  • Nephrology Physician
  • Delray Beach, FL
National Provider Identifier
1235285776
Registry record updated Aug 13, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
ME77761 Issued in FL
Legal business name
KIDNEY & HYPERTENSION SPECIALISTS PA
Practice address
5210 Linton Blvd
Suite 105
Delray Beach, FL 33484-6542
Phone
(561) 496-1160
Fax
(561) 496-2660
NPI assigned
Jan 26, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 13, 2008

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

Authorized official

Name
Dr. David Adam Scott, M.D.NPI 1144267238
Title
President
Phone
(561) 496-1160

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 PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RN0300X ME77761 FL Primary

Addresses

Primary practice location

5210 Linton Blvd
Suite 105
Delray Beach, FL 33484-6542

Mailing address

5210 Linton Blvd
Suite 105
Delray Beach, FL 33484-6542
Phone (561) 496-1160

Other identifiers 3

IdentifierTypeStateIssuer
CH2716OtherFLMEDICARE RAILROAD GROUP
94783OtherFLBCBS GROUP NUMBER
661919OtherFLHARVARD INS GROUP NUMBER

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040914000275 FL Part B Supplier - Clinic/Group Practice 6103893722 Receives reassigned benefits from 5 practitioners
Practice locations: Boynton Beach, FL; Delray Beach, FL

National Provider Directory

National Provider Directory

Locations

1500 Gateway Blvd
Ste 194
Boynton Beach, FL 33426
Phone (561) 496-1160

5210 Linton Blvd
Ste 105
Delray Beach, FL 33484
Phone (561) 496-1160

16244 S Military Trl
Ste 110
Delray Beach, FL 33484
Phone (561) 495-0850

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/HECEAA

Practitioners & affiliated clinicians

Practitioners 6

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

NPI Registry JSON

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

{
    "created_epoch": "1169769600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1218585600000",
    "number": "1235285776",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5210 LINTON BLVD",
            "address_2": "SUITE 105",
            "city": "DELRAY BEACH",
            "state": "FL",
            "postal_code": "334846542",
            "telephone_number": "561-496-1160",
            "fax_number": "561-496-2660"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5210 LINTON BLVD",
            "address_2": "SUITE 105",
            "city": "DELRAY BEACH",
            "state": "FL",
            "postal_code": "334846542",
            "telephone_number": "561-496-1160",
            "fax_number": "561-496-2660"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KIDNEY & HYPERTENSION SPECIALISTS PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-26",
        "last_updated": "2008-08-13",
        "status": "A",
        "authorized_official_last_name": "SCOTT",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "ADAM",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "561-496-1160",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Nephrology",
            "state": "FL",
            "license": "ME77761",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD GROUP",
            "identifier": "CH2716",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS GROUP NUMBER",
            "identifier": "94783",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HARVARD INS GROUP NUMBER",
            "identifier": "661919",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Delray Beach, FL

Sources for this page

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