Organization Active NPI

2HT Kidney Care LTD

  • Nephrology Physician
  • Bourbonnais, IL
National Provider Identifier
1437673571
Registry record updated Jun 11, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
Legal business name
2HT KIDNEY CARE LTD
Practice address
20 Heritage Dr
Bourbonnais, IL 60914-2701
Phone
(815) 937-4880
NPI assigned
Jul 31, 2017
Last updated
Jun 11, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 11, 2019

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

Authorized official

Name
Dr. Paritosh Tiwari, MDNPI 1174696884
Title
Partner
Phone
(815) 937-4880

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X NU Primary

Addresses

Primary practice location

20 Heritage Dr
Bourbonnais, IL 60914-2701

Mailing address

20 Heritage Dr
Bourbonnais, IL 60914-2701
Phone (815) 937-4880

Other identifiers 1

IdentifierTypeStateIssuer
036085017MedicaidIL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20171114002672 IL Part B Supplier - Clinic/Group Practice 0143586784 Receives reassigned benefits from 5 practitioners
Practice locations: Bourbonnais, IL

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
14D21404252HT Kidney Care, LTD20 Heritage Dr, Bourbonnais, IL 60914Certificate of waiverNov 20, 2027

National Provider Directory

National Provider Directory

Locations

20 Heritage Dr
Bourbonnais, IL 60914
Phone (815) 937-4880

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/GIJBBD

Practitioners & affiliated clinicians

Practitioners 5

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": "1501459200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1560211200000",
    "number": "1437673571",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 HERITAGE DR",
            "city": "BOURBONNAIS",
            "state": "IL",
            "postal_code": "609142701",
            "telephone_number": "815-937-4880",
            "fax_number": "978-327-7839"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 HERITAGE DR",
            "city": "BOURBONNAIS",
            "state": "IL",
            "postal_code": "609142701",
            "telephone_number": "815-937-4880"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "2HT KIDNEY CARE LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-07-31",
        "last_updated": "2019-06-11",
        "status": "A",
        "authorized_official_last_name": "TIWARI",
        "authorized_official_first_name": "PARITOSH",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "815-937-4880",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036085017",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bourbonnais, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2019; 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.