Organization Active NPI

Kidney Specialists of Virginia PLLC

Doing business as Kidney Specialists of Virginia

  • Nephrology Physician
  • Fredericksburg, VA
National Provider Identifier
1487405064
Registry record updated Apr 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
Legal business name
KIDNEY SPECIALISTS OF VIRGINIA PLLC
Doing business as
Kidney Specialists of Virginia
Practice address
10333 Southpoint Landing Blvd # 161
Fredericksburg, VA 22407-8042
Phone
(540) 899-3107
Fax
(540) 899-3183
NPI assigned
Apr 1, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 8, 2024

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

Authorized official

Name
Dr. Usman Rahmat, MDNPI 1306007067
Title
Nephrologist - Managing Partner
Phone
(202) 855-0213

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 PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RN0300X Primary

Addresses

Primary practice location

10333 Southpoint Landing Blvd # 161
Fredericksburg, VA 22407-8042

Mailing address

9421 Deep Creek LN
Fredericksburg, VA 22407-9216
Phone (202) 855-0213

Other names 1

  • Kidney Specialists of Virginia Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240509000826 VA Part B Supplier - Clinic/Group Practice 6002257987 Receives reassigned benefits from 5 practitioners
Practice locations: Fredericksburg, VA

National Provider Directory

National Provider Directory

Locations

10333 Southpoint Landing Blvd
#B161
Fredericksburg, VA 22407
Phone (540) 899-3107

1151 Hospital Dr
Fredericksburg, VA 22401
Phone (540) 373-2470

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1711929600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1712534400000",
    "number": "1487405064",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9421 DEEP CREEK LN",
            "city": "FREDERICKSBURG",
            "state": "VA",
            "postal_code": "224079216",
            "telephone_number": "202-855-0213"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10333 SOUTHPOINT LANDING BLVD # 161",
            "city": "FREDERICKSBURG",
            "state": "VA",
            "postal_code": "224078042",
            "telephone_number": "540-899-3107",
            "fax_number": "540-899-3183"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KIDNEY SPECIALISTS OF VIRGINIA PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-04-01",
        "last_updated": "2024-04-08",
        "certification_date": "2024-04-08",
        "status": "A",
        "authorized_official_last_name": "RAHMAT",
        "authorized_official_first_name": "USMAN",
        "authorized_official_title_or_position": "NEPHROLOGIST -  MANAGING PARTNER",
        "authorized_official_telephone_number": "202-855-0213",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Nephrology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Kidney Specialists of Virginia",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Fredericksburg, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 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.

Verify at the official NPI Registry.