Southwest Kidney Institute, PLC

Primary specialty

Nephrology PhysicianTaxonomy code 207RN0300X

Legal business name

SOUTHWEST KIDNEY INSTITUTE, PLC

Practice address

395 N. Silverbell
Suite 209
Tucson, AZ 85745-2606

Phone

(520) 623-2642

Fax

(520) 623-6162

NPI assigned

Jan 29, 2009

Last updated

Nov 6, 2012By 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

Gurdev Singh, M.D.

Title

VP of Finance

Phone

(480) 610-6100

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AZ

Enrollment records 1

Other NPIs on the same Medicare enrollment 2

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Southwest Kidney Institute, PLC

  • Nephrology Physician
  • Tempe, AZ
  • NPI 1659316008

  O20040211001069

  Same enrollment
• Southwest Kidney Institute, PLC

  • Nephrology Physician
  • Sierra Vista, AZ
  • NPI 1891933560

  O20040211001069

  Same enrollment

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

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/2697/brand/1/csg/22/fhir/r4

Practitioners 36

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.

• Josie Joy Balboa-Azura, FNP-C

  • Family Nurse Practitioner
  • Surprise, AZ
  • NPI 1407226285
  NPD
• Daniel Jose Castro Pereira, M.D.

  • Nephrology Physician
  • Tucson, AZ
  • NPI 1912212390
  NPD
• Vanica Caswell, RN

  • Family Nurse Practitioner
  • Tucson, AZ
  • NPI 1982985818
  NPD
• Yun Chin Chong, M.D.

  • Nephrology Physician
  • Phoenix, AZ
  • NPI 1245224757
  NPD
• Elizabeth Marie Clapper, MSN, APRN, FNP-C

  • Family Nurse Practitioner
  • Phoenix, AZ
  • NPI 1275222424
  NPD
• Lori J Cooper, APRN

  • Adult Health Nurse Practitioner
  • Tempe, AZ
  • NPI 1902904394
  NPD
• Cynthia Devine, NP

  • Gerontology Nurse Practitioner
  • Chandler, AZ
  • NPI 1730579426
  NPD
• Richard P Flick, M.D.

  • Nephrology Physician
  • Peoria, AZ
  • NPI 1215921135
  NPD
• Donn M Hogan, M.D.

  • Nephrology Physician
  • Scottsdale, AZ
  • NPI 1447474143
  NPD
• Bindu Jayavelu, M.D.

  • Nephrology Physician
  • Mesa, AZ
  • NPI 1003965278
  NPD
• Vikas Kumar Kalra, MBBS

  • Nephrology Physician
  • Scottsdale, AZ
  • NPI 1801041041
  NPD
• Mandip S Kang, M.D.

  • Nephrology Physician
  • Peoria, AZ
  • NPI 1023002946
  NPD

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

{
    "created_epoch": "1233187200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1352160000000",
    "number": "1407094436",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2149 E WARNER RD",
            "address_2": "SUITE 101",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "852843494",
            "telephone_number": "480-610-6100",
            "fax_number": "480-610-6195"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "395 N. SILVERBELL",
            "address_2": "SUITE 209",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857452606",
            "telephone_number": "520-623-2642",
            "fax_number": "520-623-6162"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHWEST KIDNEY INSTITUTE, PLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-01-29",
        "last_updated": "2012-11-06",
        "status": "A",
        "authorized_official_last_name": "SINGH",
        "authorized_official_first_name": "GURDEV",
        "authorized_official_title_or_position": "VP OF FINANCE",
        "authorized_official_telephone_number": "480-610-6100",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Nephrology",
            "state": "AZ",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Southwest Hearing Care Inc (Southwest Hearing Care)
• Southwest Heart Group LLC
• Southwest Heart PC
• Southwest International
• Southwest Kidney Davita Dialysis Partners, LLC (Swan Dialysis)
• Southwest Kids Dentistry PLLC
• Southwest Laser Services,LLC
• Southwest Neuropsychology Associates, P.C.
• Southwest Orthopaedic Surgery Specialists, PLC
• Southwest Pet Institute, LLC (Southwest PET Institute)

• Nephrology Physician in Tucson, AZ
• Providers in Tucson, AZ by specialty
• Nephrology Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2012; 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.