Kidney Specialist Inc.

Primary specialty

Nephrology PhysicianTaxonomy code 207RN0300X

License

C-52769 Issued in CA

Legal business name

KIDNEY SPECIALIST INC.

Practice address

451 E Almond Ave Ste 101
Madera, CA 93637-5562

Phone

(559) 661-1965

Fax

(559) 661-1952

NPI assigned

Oct 14, 2007

Organization subpart

No

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

Authorized official

Name

Sheikh Mohammad Masood, M.DNPI 1669422812

Title

President

Phone

(559) 661-1965

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Sheikh Mohammad Masood, M.D.

  • Nephrology Physician
  • Madera, CA
  • NPI 1669422812
  Medicare reassignment Care Compare group NPD Authorized official
• Mohammed Muhibbulla Siddiqui, MD

  • Nephrology Physician
  • Madera, CA
  • NPI 1184916983
  Medicare reassignment Care Compare group NPD
• Anwer Alam Shaikh, M.D.

  • Medical Oncology Physician
  • Vista, CA
  • NPI 1609879170
  NPD (past)
• Naeem A Siddiqi, M.D.

  • Gynecology Physician
  • Madera, CA
  • NPI 1134190374
  NPD (past)
• Gazala Darvesh, M.D.

  • Hospitalist Physician
  • Hackensack, NJ
  • NPI 1922109149
  NPD (past)

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

{
    "created_epoch": "1192320000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1654214400000",
    "number": "1356539423",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "451 E ALMOND AVE STE 101",
            "city": "MADERA",
            "state": "CA",
            "postal_code": "936375562",
            "telephone_number": "559-661-1965",
            "fax_number": "559-661-1952"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "451 E ALMOND AVE STE 101",
            "city": "MADERA",
            "state": "CA",
            "postal_code": "936375562",
            "telephone_number": "559-661-1965",
            "fax_number": "559-661-1952"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1191 E Herndon Ave Ste 102",
            "address_purpose": "LOCATION",
            "city": "Fresno",
            "state": "CA",
            "postal_code": "937203164",
            "country_code": "US",
            "telephone_number": "559-661-1965",
            "fax_number": "559-661-1952",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "KIDNEY SPECIALIST INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-14",
        "last_updated": "2022-06-03",
        "certification_date": "2022-06-03",
        "status": "A",
        "authorized_official_last_name": "MASOOD",
        "authorized_official_first_name": "SHEIKH",
        "authorized_official_middle_name": "MOHAMMAD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "559-661-1965",
        "authorized_official_credential": "M.D"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Nephrology",
            "state": "CA",
            "license": "C-52769",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1669422812",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Shaheen Khan, MD
• Shehma Khan, MD
• Sidra Khan, M.D
• Ambreen Khurshid, M.D.
• Kidney Specialist
• Raief Killeny, RPH
• Carolyn Grace Kim, LCSW
• Cherie Kim, PHARMD
• Jessie Hahn Kim, PHARM.D.
• Young H Kim, MD

• Nephrology Physician in Madera, CA
• Providers in Madera, CA by specialty
• Nephrology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 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.