Organization Active NPI

Center for Kidney Disease

  • Nephrology Physician
  • Derry, NH
National Provider Identifier
1316597446
Registry record updated May 10, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
Legal business name
CENTER FOR KIDNEY DISEASE
Practice address
6 Tsienneto Rd Ste 300a
Derry, NH 03038-1584
Phone
(603) 912-2837
Fax
(949) 810-9109
NPI assigned
Sep 20, 2019
Last updated
May 10, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 10, 2026

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

Authorized official

Name
Shaikh R Hoque, MDNPI 1508849886
Title
Owner, Authorized Signer
Phone
(406) 788-7119

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 Primary

Addresses

Primary practice location

6 Tsienneto Rd Ste 300a
Derry, NH 03038-1584

Mailing address

12 Moonstone CT
Nashua, NH 03062-3097

Other practice location 1

50 Bridge St Ste 204
Manchester, NH 03101-1620
Phone (603) 912-2837

Other identifiers 2

IdentifierTypeStateIssuer
I44529OtherMEDICARE UPIN
30206444MedicaidNH

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200107000613 NH Part B Supplier - Clinic/Group Practice 5395179907 Receives reassigned benefits from 1 practitioner
Practice locations: Derry, NH; Londonderry, NH; Manchester, NH; Salem, NH

National Provider Directory

National Provider Directory

Locations

14A Tsienneto Rd
Ste 300
Derry, NH 03038
Phone 60353713003703

6 Tsienneto Rd
Ste 300A
Derry, NH 03038
Phone (603) 912-2837

1 Action Blvd
Unit 2
Londonderry, NH 03053
Phone (603) 421-2384

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1568937600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1778371200000",
    "number": "1316597446",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12 MOONSTONE CT",
            "city": "NASHUA",
            "state": "NH",
            "postal_code": "030623097",
            "fax_number": "949-810-9109"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6 TSIENNETO RD STE 300A",
            "city": "DERRY",
            "state": "NH",
            "postal_code": "030381584",
            "telephone_number": "603-912-2837",
            "fax_number": "949-810-9109"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "50 Bridge St Ste 204",
            "address_purpose": "LOCATION",
            "city": "Manchester",
            "state": "NH",
            "postal_code": "031011620",
            "country_code": "US",
            "telephone_number": "603-912-2837",
            "fax_number": "949-810-9109",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "CENTER FOR KIDNEY DISEASE",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-09-20",
        "last_updated": "2026-05-10",
        "certification_date": "2026-05-10",
        "status": "A",
        "authorized_official_last_name": "HOQUE",
        "authorized_official_first_name": "SHAIKH",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OWNER, AUTHORIZED SIGNER",
        "authorized_official_telephone_number": "406-788-7119",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE UPIN",
            "identifier": "I44529",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "30206444",
            "state": "NH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Derry, NH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2026; 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.