Kidney & Hypertension Clinic, Inc

Primary specialty

Nephrology PhysicianTaxonomy code 207RN0300X

License

154239 Issued in MA

Legal business name

KIDNEY & HYPERTENSION CLINIC, INC

Practice address

Kidney & Hypertension Clinic, Inc.
640 Bolton St
Marlborough, MA 01752-3999

Phone

(508) 281-5953

Fax

(508) 299-2343

NPI assigned

Dec 17, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Humaira A Mahmud, M.D.NPI 1174581789

Title

Medical Director

Phone

(508) 281-5953

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MA

Enrollment records 1

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/HIGBBA

Practitioners 1

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

• Humaira A Mahmud, M.D.

  • Nephrology Physician
  • Marlborough, MA
  • NPI 1174581789
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1197849600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1285113600000",
    "number": "1366625006",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "KIDNEY & HYPERTENSION CLINIC, INC.",
            "address_2": "640 BOLTON ST",
            "city": "MARLBOROUGH",
            "state": "MA",
            "postal_code": "017523999",
            "telephone_number": "508-281-5953",
            "fax_number": "508-299-2343"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "KIDNEY & HYPERTENSION CLINIC, INC.",
            "address_2": "640 BOLTON ST",
            "city": "MARLBOROUGH",
            "state": "MA",
            "postal_code": "017523999",
            "telephone_number": "508-281-5953",
            "fax_number": "508-299-2343"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KIDNEY & HYPERTENSION CLINIC, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-17",
        "last_updated": "2010-09-22",
        "status": "A",
        "authorized_official_last_name": "MAHMUD",
        "authorized_official_first_name": "HUMAIRA",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "508-281-5953",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Nephrology",
            "state": "MA",
            "license": "154239",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE INDIVIDUAL PIN",
            "identifier": "A33542",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Key Autism Services
• Charnae Key-Dunlap
• Keysline Automotive Inc.
• Mariyam Khalil
• Asma Khan
• Kelsea Kidney
• Sneha Kilari, M.D.
• Sermin Merve Kilicaslan
• Allis Kim, M.D.
• Jenny Kim, DMD

• Nephrology Physician in Marlborough, MA
• Providers in Marlborough, MA by specialty
• Nephrology Physician in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2010; 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.