Organization Active NPI

Kidney Specialists, PLLC

  • Medical Specialty Clinic/Center
  • Martinsburg, WV
National Provider Identifier
1376829671
Registry record updated Jan 9, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Specialty Clinic/CenterTaxonomy code 261QM2500X
License
24463 Issued in WV
Legal business name
KIDNEY SPECIALISTS, PLLC
Practice address
176 Health Care LN Ste a
Martinsburg, WV 25401-4010
Phone
(304) 262-4123
Fax
(304) 262-0356
NPI assigned
Oct 31, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 9, 2012

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

Authorized official

Name
Dr. Babak Barmar, MDNPI 1972667202
Title
Owner
Phone
(412) 657-0269

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
Medical Specialty Clinic/Center 261QM2500X 24463 WV Primary

Addresses

Primary practice location

176 Health Care LN Ste a
Martinsburg, WV 25401-4010

Mailing address

176 Health Care LN Ste a
Martinsburg, WV 25401-4010
Phone (304) 262-4123

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WV, VA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20120130000465 WV Part B Supplier - Clinic/Group Practice 4284801796 Receives reassigned benefits from 5 practitioners
Practice locations: Martinsburg, WV
O20120821000700 VA Part B Supplier - Clinic/Group Practice 4284801796 Receives reassigned benefits from 5 practitioners
Practice locations: Ashburn, VA; Winchester, VA; Leesburg, VA; Lansdowne, VA; Front Royal, VA

National Provider Directory

National Provider Directory

Locations

19490 Sandridge Way
Rm 3
Lansdowne, VA 20176
Phone (304) 449-3778

821 S King St
Ste E
Leesburg, VA 20175
Phone (412) 805-1625

44084 Riverside Pkwy
Ste 250
Leesburg, VA 20176
Phone (304) 449-3778

19490 Sandridge Way
Leesburg, VA 20176
Phone (703) 723-7504

1870 Amherst St
#2A
Winchester, VA 22601
Phone (540) 313-6563

80 W Jubal Early Dr Ste 200
Winchester, VA 22601

1004 Sushruta Dr
Martinsburg, WV 25401
Phone (304) 449-3778

176 Health Care Ln
Ste A
Martinsburg, WV 25401
Phone (304) 262-0085

300 S Preston St
Ranson, WV 25438
Phone (304) 728-1600

Practitioners & affiliated clinicians

Practitioners 7

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": "1320019200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1326067200000",
    "number": "1376829671",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "176 HEALTH CARE LN STE A",
            "city": "MARTINSBURG",
            "state": "WV",
            "postal_code": "254014010",
            "telephone_number": "304-262-4123",
            "fax_number": "304-262-0356"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "176 HEALTH CARE LN STE A",
            "city": "MARTINSBURG",
            "state": "WV",
            "postal_code": "254014010",
            "telephone_number": "304-262-4123",
            "fax_number": "304-262-0356"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KIDNEY SPECIALISTS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-10-31",
        "last_updated": "2012-01-09",
        "status": "A",
        "authorized_official_last_name": "BARMAR",
        "authorized_official_first_name": "BABAK",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "412-657-0269",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "WV",
            "license": "24463",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Martinsburg, WV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2012; 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.