Kidney Health Inc

Primary specialty

Nephrology PhysicianTaxonomy code 207RN0300X

Legal business name

KIDNEY HEALTH INC

Practice address

506 Ellington St
Princeton, WV 24740-1370

Phone

(734) 585-4809

Fax

(304) 884-4448

NPI assigned

Apr 15, 2022

Last updated

Apr 15, 2022By 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

Abbas El-Khatib, MDNPI 1386709970

Title

Owner

Phone

(734) 585-4809

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in WV

Enrollment records 1

Practitioners 1

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.

• Abbas Yousef El-Khatib, MD

  • Nephrology Physician
  • Belfast, ME
  • NPI 1386709970

  WV

  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1649980800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1649980800000",
    "number": "1285377440",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6635 HERON PT",
            "city": "WEST BLOOMFIELD",
            "state": "MI",
            "postal_code": "483232060"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "506 ELLINGTON ST",
            "city": "PRINCETON",
            "state": "WV",
            "postal_code": "247401370",
            "telephone_number": "734-585-4809",
            "fax_number": "304-884-4448"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KIDNEY HEALTH INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-04-15",
        "last_updated": "2022-04-15",
        "certification_date": "2022-04-15",
        "status": "A",
        "authorized_official_last_name": "EL-KHATIB",
        "authorized_official_first_name": "ABBAS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "734-585-4809",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Haley Keyser
• Sajjad Asghar Ayaz Khan
• Zahraa Khanafer
• Amira I Khokar, MD
• Ghazala Qureshi Khokar, MD
• Krista Jade Kimball
• Alexis King
• Angel King
• Michael D King, MA, LPC, NCC, CCTP
• Amber Kinser

• Nephrology Physician in Princeton, WV
• Providers in Princeton, WV by specialty
• Nephrology Physician in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2022; 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.