NPIMap

Individual provider Active NPI

Nikita Igorevich Neverov, M.D.

  • Nephrology Physician
  • Altoona, PA
National Provider Identifier
1245893270
Registry record updated Apr 16, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
122720 Issued in NC
Practice address
501 Howard Ave Ste D204
Altoona, PA 16601-4814
Phone
(814) 944-2107
Fax
(814) 944-6208
NPI assigned
Apr 16, 2019
Last updated
Apr 16, 2019By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 16, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X 122720 NC Primary

Addresses

Primary practice location

501 Howard Ave Ste D204
Altoona, PA 16601-4814

Mailing address

501 Howard Ave Ste D204
Altoona, PA 16601-4814
Phone (814) 944-2107

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20191119000804 PA Practitioner - NephrologyPractitioner - Internal Medicine 7517399207 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
NephrologyAlso: Internal Medicine
Education
Other, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Blair Renal Associates IncGroup PAC ID 3072405489, 3 clinicians

Practice addresses (Care Compare)

501 Howard Ave
Suite D204
Altoona, PA 16601-4814
Phone (814) 944-2107

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
94.65 of 100Reported as individual
Quality
91.16
Improvement activities
40
Cost
74.68

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
122720NCMDNephrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Blair Renal Associates Inc Nephrology CurrentSince Oct 28, 2019 Accepting new patients
Windber Hospital, Inc. Past Accepting new patients
Lake Whitney Physical Therapy PC PastSince Jun 10, 2003 Accepting new patients

Locations

501 Howard Ave
Ste D204
Altoona, PA 16601
Phone (814) 944-2107

Interoperability endpoints

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

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 8

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1555372800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1555372800000",
    "number": "1245893270",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "501 HOWARD AVE STE D204",
            "city": "ALTOONA",
            "state": "PA",
            "postal_code": "166014814",
            "telephone_number": "814-944-2107",
            "fax_number": "814-944-6208"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 HOWARD AVE STE D204",
            "city": "ALTOONA",
            "state": "PA",
            "postal_code": "166014814",
            "telephone_number": "814-944-2107",
            "fax_number": "814-944-6208"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NEVEROV",
        "first_name": "NIKITA",
        "middle_name": "IGOREVICH",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-04-16",
        "last_updated": "2019-04-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "NC",
            "license": "122720",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Altoona, PA

Sources for this page

Verify at the official NPI Registry.