Active NPI
Hypertension Kidney and Dialysis Specialists
- Nephrology Physician
- Panama City, FL
National Provider Identifier
1447540612
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nephrology Physician
- License
- ME0078033
- Legal business name
- HYPERTENSION KIDNEY AND DIALYSIS SPECIALISTS
- Practice address
- 2507 Harrison Ave
Suite 101
Panama City, FL 32405-4424 - Phone
- (850) 215-5911
- Fax
- (850) 914-3004
- NPI assigned
- Apr 8, 2011
- Last updated
- Mar 24, 2024
- 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
- Dr. Ahmad Oussama Rifai
- Title
- Owner
- Phone
- (850) 890-5570
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Nephrology Physician | 207RN0300X | ME0078033 | FL | Primary |
Addresses
Primary practice location
2507 Harrison Ave
Suite 101
Panama City, FL 32405-4424
Mailing address
PO Box 1750
Lynn Haven, FL 32444-5950
Phone (850) 215-5911
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 2
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.
-
- Acute Care Nurse Practitioner
- Panama City, FL
- NPI 1730639725
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1302220800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1711238400000",
"number": "1447540612",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1750",
"city": "LYNN HAVEN",
"state": "FL",
"postal_code": "324445950",
"telephone_number": "850-215-5911",
"fax_number": "850-914-3004"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2507 HARRISON AVE",
"address_2": "SUITE 101",
"city": "PANAMA CITY",
"state": "FL",
"postal_code": "324054424",
"telephone_number": "850-215-5911",
"fax_number": "850-914-3004"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HYPERTENSION KIDNEY AND DIALYSIS SPECIALISTS",
"organizational_subpart": "NO",
"enumeration_date": "2011-04-08",
"last_updated": "2024-03-24",
"certification_date": "2024-03-24",
"status": "A",
"authorized_official_last_name": "RIFAI",
"authorized_official_first_name": "AHMAD",
"authorized_official_middle_name": "OUSSAMA",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "850-890-5570",
"authorized_official_name_prefix": "Dr."
},
"taxonomies": [
{
"code": "207RN0300X",
"taxonomy_group": "",
"desc": "Internal Medicine, Nephrology",
"state": "FL",
"license": "ME0078033",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Panama City, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.