Active NPI
Nephro, LLC
- Nephrology Physician
- Kansas City, MO
National Provider Identifier
1427765437
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nephrology Physician
- Legal business name
- NEPHRO, LLC
- Practice address
- 9411 NE 92ND St
Kansas City, MO 64157-7653 - Phone
- (913) 626-0568
- NPI assigned
- Oct 31, 2022
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Shahzad Shafique, MD
- Title
- Owner of the Entity
- Phone
- (913) 626-0568
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nephrology Physician | 207RN0300X | Primary |
Addresses
Primary practice location
9411 NE 92ND St
Kansas City, MO 64157-7653
Mailing address
9411 NE 92ND St
Kansas City, MO 64157-7653
Phone (913) 626-0568
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1667174400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1667174400000",
"number": "1427765437",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9411 NE 92ND ST",
"city": "KANSAS CITY",
"state": "MO",
"postal_code": "641577653",
"telephone_number": "913-626-0568"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9411 NE 92ND ST",
"city": "KANSAS CITY",
"state": "MO",
"postal_code": "641577653",
"telephone_number": "913-626-0568"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NEPHRO, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2022-10-31",
"last_updated": "2022-10-31",
"certification_date": "2022-10-30",
"status": "A",
"authorized_official_last_name": "SHAFIQUE",
"authorized_official_first_name": "SHAHZAD",
"authorized_official_title_or_position": "OWNER OF THE ENTITY",
"authorized_official_telephone_number": "913-626-0568",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207RN0300X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine, Nephrology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Kansas City, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.