Active NPI
Upper Valley Kidney Clinic LLC
- Nephrology Physician
- Troy, OH
National Provider Identifier
1316046600
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nephrology Physician
- License
- 35080974
- Legal business name
- UPPER VALLEY KIDNEY CLINIC LLC
- Practice address
- 3130 N County Road 25a
Suite 101
Troy, OH 45373-1337 - Phone
- (937) 335-9633
- Fax
- (937) 335-9464
- NPI assigned
- Sep 22, 2006
- Last updated
- Oct 2, 2012
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Sayed Ali, MD, MPH
- Title
- Owner
- Phone
- (937) 335-9633
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Nephrology Physician | 207RN0300X | 35080974 | OH | Primary |
Addresses
Primary practice location
3130 N County Road 25a
Suite 101
Troy, OH 45373-1337
Mailing address
PO Box 734
Troy, OH 45373-0734
Phone (937) 335-9633
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
3130 N Dixie Hwy
Ste 110
Troy, OH 45373
Phone (937) 335-9633
Practitioners & affiliated clinicians
Practitioners 2
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.
-
- Nephrology Physician
- Troy, OH
- NPI 1982709903
-
- Nephrology Physician
- Detroit, MI
- NPI 1972571800
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158883200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1349136000000",
"number": "1316046600",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 734",
"city": "TROY",
"state": "OH",
"postal_code": "453730734",
"telephone_number": "937-335-9633",
"fax_number": "937-335-9464"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3130 N COUNTY ROAD 25A",
"address_2": "SUITE 101",
"city": "TROY",
"state": "OH",
"postal_code": "453731337",
"telephone_number": "937-335-9633",
"fax_number": "937-335-9464"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "UPPER VALLEY KIDNEY CLINIC LLC",
"organizational_subpart": "NO",
"enumeration_date": "2006-09-22",
"last_updated": "2012-10-02",
"status": "A",
"authorized_official_last_name": "ALI",
"authorized_official_first_name": "SAYED",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "937-335-9633",
"authorized_official_credential": "MD, MPH"
},
"taxonomies": [
{
"code": "207RN0300X",
"taxonomy_group": "",
"desc": "Internal Medicine, Nephrology",
"state": "OH",
"license": "35080974",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Troy, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2012; 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.