Organization Active NPI

Center for Kidney and Metabolic Disorders PLLC

  • Nephrology Physician
  • Salem, NH
National Provider Identifier
1326400656
Registry record updated Dec 16, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
13080 Issued in NH
Legal business name
CENTER FOR KIDNEY AND METABOLIC DISORDERS PLLC
Practice address
31 Stiles Rd Ste 2400
Salem, NH 03079
Phone
(603) 890-2771
Fax
(603) 890-2886
NPI assigned
Mar 25, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 16, 2020

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

Authorized official

Name
Dr. Ana R. Stankovic, MDNPI 1992794515
Title
Owner
Phone
(603) 890-2771

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 13080 NH Primary

Addresses

Primary practice location

31 Stiles Rd Ste 2400
Salem, NH 03079

Mailing address

31 Stiles Rd Ste 2400
Salem, NH 03079-3037
Phone (603) 890-2771

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20160512000526 NH Part B Supplier - Clinic/Group Practice 7517256688 Receives reassigned benefits from 1 practitioner
Practice locations: Salem, NH

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1458864000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1608076800000",
    "number": "1326400656",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "31 STILES RD STE 2400",
            "city": "SALEM",
            "state": "NH",
            "postal_code": "030793037",
            "telephone_number": "603-890-2771",
            "fax_number": "603-890-2886"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "31 STILES RD STE 2400",
            "city": "SALEM",
            "state": "NH",
            "postal_code": "03079",
            "telephone_number": "603-890-2771",
            "fax_number": "603-890-2886"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTER FOR KIDNEY AND METABOLIC DISORDERS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-03-25",
        "last_updated": "2020-12-16",
        "certification_date": "2020-12-16",
        "status": "A",
        "authorized_official_last_name": "STANKOVIC",
        "authorized_official_first_name": "ANA",
        "authorized_official_middle_name": "R.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "603-890-2771",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Nephrology",
            "state": "NH",
            "license": "13080",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Salem, NH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2020; 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.