Active NPI
Kidney and Hypertension Consultants
- Nephrology Physician
- Northridge, CA
National Provider Identifier
1487993176
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nephrology Physician
- License
- A88861
- Legal business name
- KIDNEY AND HYPERTENSION CONSULTANTS
- Practice address
- 18546 Roscoe Blvd Ste 110
Northridge, CA 91324-4667 - Phone
- (818) 993-5600
- Fax
- (818) 775-1509
- NPI assigned
- Jan 31, 2013
- 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. Ramanath Dukkipati, M.D
- Title
- President
- Phone
- (818) 993-5600
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 | A88861 | CA | Primary |
Addresses
Primary practice location
18546 Roscoe Blvd Ste 110
Northridge, CA 91324-4667
Mailing address
18546 Roscoe Blvd Ste 110
Northridge, CA 91324-4667
Phone (818) 993-5600
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00A88610 | Medicaid | CA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20130730000302 | CA | Part B Supplier - Clinic/Group Practice | 3779724083 |
Receives reassigned benefits from 6 practitioners Practice locations: Northridge, CA; West Hills, CA |
National Provider Directory
National Provider DirectoryLocations
18531 Roscoe Blvd
Ste 206
Northridge, CA 91324
Phone (818) 407-4822
18546 Roscoe Blvd
Ste 110
Northridge, CA 91324
Phone (818) 993-5600
Practitioners & affiliated clinicians
Practitioners 6
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Psychiatric/Mental Health Nurse Practitioner
- North Hills, CA
- NPI 1518466432
CA
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1359590400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1547424000000",
"number": "1487993176",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "18546 ROSCOE BLVD STE 110",
"city": "NORTHRIDGE",
"state": "CA",
"postal_code": "913244667",
"telephone_number": "818-993-5600",
"fax_number": "818-775-1509"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "18546 ROSCOE BLVD STE 110",
"city": "NORTHRIDGE",
"state": "CA",
"postal_code": "913244667",
"telephone_number": "818-993-5600",
"fax_number": "818-775-1509"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "KIDNEY AND HYPERTENSION CONSULTANTS",
"organizational_subpart": "NO",
"enumeration_date": "2013-01-31",
"last_updated": "2019-01-14",
"status": "A",
"authorized_official_last_name": "DUKKIPATI",
"authorized_official_first_name": "RAMANATH",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "818-993-5600",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D"
},
"taxonomies": [
{
"code": "207RN0300X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine, Nephrology",
"state": "CA",
"license": "A88861",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00A88610",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Northridge, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2019; 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.