Ocala Kidney Group Inc

Primary specialty

Nephrology PhysicianTaxonomy code 207RN0300X

Legal business name

OCALA KIDNEY GROUP INC

Practice address

2980 SE 3Rd CT
Ocala, FL 34471-0421

Phone

(352) 622-4231

Fax

(352) 622-0513

NPI assigned

Jun 18, 2006

Last updated

Aug 19, 2022By 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

Zina G Padgett

Title

Office Manager

Phone

(352) 622-4231

Specialties & licenses 1

Addresses

Other identifiers 6

Medicare fee-for-service enrollment

Enrolled in FL2 enrollments

Enrollment records 2

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

CLIA laboratory certificates

Tax ID family

Ocala Kidney Group Inc4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

• Ocala Kidney Group Inc

  • Nephrology Physician
  • Leesburg, FL
  • NPI 1114590239
  NPD tax ID
• Ocala Kidney Group Inc

  • Nephrology Physician
  • Gainesville, FL
  • NPI 1194398115
  NPD tax ID
• Ocala Kidney Group Inc

  • Nephrology Physician
  • Ocala, FL
  • NPI 1881267904
  NPD tax ID

Locations

Practitioners 22

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.

• Joel Olusayo Adewuyi, MD

  • Nephrology Physician
  • Ocala, FL
  • NPI 1851824783

  Single Specialty

  Medicare reassignment Care Compare group NPD
• Jessica Kay Chitumalla, ARNP

  • Gerontology Nurse Practitioner
  • Ocala, FL
  • NPI 1184022014
  Medicare reassignment Care Compare group NPD
• Venkat Vikram Chitumalla, M.D.

  • Nephrology Physician
  • Ocala, FL
  • NPI 1750585113
  Medicare reassignment Care Compare group NPD
• Philip Dankyi, ARNP

  • Adult Health Nurse Practitioner
  • Ocala, FL
  • NPI 1457351686
  Medicare reassignment Care Compare group NPD
• Oleksandr Ivanovych Kovalchuk, M.D.

  • Nephrology Physician
  • Ocala, FL
  • NPI 1437390788
  Medicare reassignment Care Compare group NPD
• Olanrewaju Adebayo Olaoye, M.D.

  • Nephrology Physician
  • Gainesville, FL
  • NPI 1659535920
  Medicare reassignment Care Compare group NPD
• Briana Elizabeth Oliveros, APRN

  • Family Nurse Practitioner
  • Ocala, FL
  • NPI 1760071914
  Medicare reassignment Care Compare group NPD
• Rebecca Paras Ong, MD

  • Nephrology Physician
  • Ocala, FL
  • NPI 1700198439
  Medicare reassignment Care Compare group NPD
• Nicoleta Radoianu, M.D.

  • Nephrology Physician
  • Ocala, FL
  • NPI 1720428402
  Medicare reassignment Care Compare group NPD
• Mahesh Kantilal Vaghela, MD

  • Nephrology Physician
  • Ocala, FL
  • NPI 1588602494
  Medicare reassignment Care Compare group NPD
• Sailaja V Ventrapragada, MD

  • Nephrology Physician
  • Ocala, FL
  • NPI 1427235241
  Medicare reassignment Care Compare group NPD
• Harold R Locay, M.D., P.A.

  • Nephrology Physician
  • Gainesville, FL
  • NPI 1205834207
  Medicare reassignment Care Compare group

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

{
    "created_epoch": "1150588800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1660867200000",
    "number": "1407891898",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2980 SE 3RD CT",
            "city": "OCALA",
            "state": "FL",
            "postal_code": "344710421",
            "telephone_number": "352-622-4231",
            "fax_number": "352-622-0513"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2980 SE 3RD CT",
            "city": "OCALA",
            "state": "FL",
            "postal_code": "344710421",
            "telephone_number": "352-622-4231",
            "fax_number": "352-622-0513"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OCALA KIDNEY GROUP INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-18",
        "last_updated": "2022-08-19",
        "certification_date": "2022-08-19",
        "status": "A",
        "authorized_official_last_name": "PADGETT",
        "authorized_official_first_name": "ZINA",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "352-622-4231"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD FLORIDA PIN",
            "identifier": "97627",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "060948002",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "060948000",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE PIN",
            "identifier": "CD4677",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "060948001",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "060948003",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ocala Injury Center Inc
• Ocala Innovative Medical, LLC
• Ocala Integrative Medicine LLC
• Ocala Intensivist Group LLC
• Ocala Internal Medicine Associates PA
• Ocala Kidney Group Inc
• Ocala Kids Dentistry, PA (Ocala Kids Dentistry)
• Ocala Lung & Critical Care Assocates Inc
• Ocala Medical and Infectious Disease Associates PA
• Ocala Medical Associates PA (Ocala Gynecology)

• Nephrology Physician in Ocala, FL
• Providers in Ocala, FL by specialty
• Nephrology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2022; 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.