Organization Active NPI

Nephro, LLC

  • Nephrology Physician
  • Kansas City, MO
National Provider Identifier
1427765437
Registry record updated Oct 31, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
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

Updated by the provider on Oct 31, 2022

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)CodeLicenseStatePrimary
Nephrology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 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 Directory

NPI 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.

Verify at the official NPI Registry.