Central Carolina Kidney Associates PA

Primary specialty

Nephrology PhysicianTaxonomy code 207RN0300X

Legal business name

CENTRAL CAROLINA KIDNEY ASSOCIATES PA

Practice address

2903 Professional Park Rd
Suite a
Burlington, NC 27215-9388

Phone

(336) 584-4913

Fax

(336) 584-4914

NPI assigned

Mar 18, 2009

Last updated

Mar 18, 2009By 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

Dr. Munsoor N Lateef, MDNPI 1073716742

Title

President

Phone

(336) 584-4913

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NC

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 10

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.

• Munsoor Lateef, MD

  • Nephrology Physician
  • Burlington, NC
  • NPI 1073716742
  Medicare reassignment Care Compare group NPD Authorized official
• Shantelle Nicolle Breeze, AGNP

  • Adult Health Nurse Practitioner
  • Greensboro, NC
  • NPI 1124612452
  Medicare reassignment Care Compare group NPD
• Rachel Hazelwood Hyler, NP-C

  • Nurse Practitioner
  • Burlington, NC
  • NPI 1134544596
  Medicare reassignment Care Compare group NPD
• Sarath Kolluru, MD

  • Nephrology Physician
  • Burlington, NC
  • NPI 1255534004
  Medicare reassignment Care Compare group NPD
• Lourdesee Ruth, NP

  • Nurse Practitioner
  • Burlington, NC
  • NPI 1346085750

  Multi-Specialty

  Medicare reassignment Care Compare group NPD
• Harmeet Singh, M.D.

  • Nephrology Physician
  • Burlington, NC
  • NPI 1306866967
  Medicare reassignment Care Compare group NPD
• Taran Kaur Singh

  • Internal Medicine Physician
  • Burlington, NC
  • NPI 1376736546

  Nephrology

  Medicare reassignment Care Compare group NPD
• Madhusudana R Korrapati, M.D.

  • Nephrology Physician
  • Mineola, NY
  • NPI 1255339834

  NC

  Medicare reassignment Care Compare group NPD
• Manpreet Singh Bhutani, MBBS

  • Nephrology Physician
  • Fort Bragg, NC
  • NPI 1245412758
  Medicare reassignment NPD
• Amber Marie Smith, FNP

  • Nurse Practitioner
  • Greensboro, NC
  • NPI 1609461995
  Medicare reassignment NPD

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

{
    "created_epoch": "1237334400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1237334400000",
    "number": "1356582506",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2903 PROFESSIONAL PARK RD",
            "address_2": "SUITE A",
            "city": "BURLINGTON",
            "state": "NC",
            "postal_code": "272159388",
            "telephone_number": "336-584-4913",
            "fax_number": "336-584-4914"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2903 PROFESSIONAL PARK RD",
            "address_2": "SUITE A",
            "city": "BURLINGTON",
            "state": "NC",
            "postal_code": "272159388",
            "telephone_number": "336-584-4913",
            "fax_number": "336-584-4914"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTRAL CAROLINA KIDNEY ASSOCIATES PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-03-18",
        "last_updated": "2009-03-18",
        "status": "A",
        "authorized_official_last_name": "LATEEF",
        "authorized_official_first_name": "MUNSOOR",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "336-584-4913",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Center for Genetic Services, Inc
• Center for Orthotic and Prosthetic Care of North Carolina Inc
• Centerwell Senior Primary Care (NC), P.C. (CenterWell Senior Primary Care (NC), P.C. - Burlington)
• Central Carolina Gynecology & Urogynecology
• Central Carolina Hematology Oncology Associates PLLC
• Central State of the Carolinas, Inc.
• CG Health Consulting PLLC
• Cham-Net Family Care Home
• Chang and Ramos II DDS PA
• Changing Lives Family Care Home LLC

• Nephrology Physician in Burlington, NC
• Providers in Burlington, NC by specialty
• Nephrology Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.