NPIMap

Organization Active NPI

Valley Kidney Institute LLC

  • Nephrology Physician
  • Peoria, AZ
National Provider Identifier
1407800212
Registry record updated Jun 1, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
41789 Issued in AZ
Legal business name
VALLEY KIDNEY INSTITUTE LLC
Practice address
13943 N 91St Ave
Ste H-101
Peoria, AZ 85381-3689
Phone
(623) 977-1331
Fax
(623) 977-1449
NPI assigned
May 19, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 1, 2012

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

Authorized official

Name
Anup Rai, MD
Title
Owner
Phone
(623) 977-1331

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RN0300X 41789 AZ Primary

Addresses

Primary practice location

13943 N 91St Ave
Ste H-101
Peoria, AZ 85381-3689

Mailing address

5150 N 16TH St
Ste B232
Phoenix, AZ 85016-3990
Phone (623) 977-1331

Other identifiers 1

IdentifierTypeStateIssuer
430888MedicaidAZ

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1147996800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1338508800000",
    "number": "1407800212",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5150 N 16TH ST",
            "address_2": "STE B232",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850163990",
            "telephone_number": "623-977-1331",
            "fax_number": "623-977-1449"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13943 N 91ST AVE",
            "address_2": "STE H-101",
            "city": "PEORIA",
            "state": "AZ",
            "postal_code": "853813689",
            "telephone_number": "623-977-1331",
            "fax_number": "623-977-1449"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VALLEY KIDNEY INSTITUTE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-19",
        "last_updated": "2012-06-01",
        "status": "A",
        "authorized_official_last_name": "RAI",
        "authorized_official_first_name": "ANUP",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "623-977-1331",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Nephrology",
            "state": "AZ",
            "license": "41789",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "430888",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Peoria, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.