Organization Active NPI

Kidney and Hypertension Center of Delaware LLC

  • Nephrology Physician
  • Delaware, OH
National Provider Identifier
1497196026
Registry record updated Sep 3, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
Legal business name
KIDNEY AND HYPERTENSION CENTER OF DELAWARE LLC
Practice address
36 Troy Rd
Delaware, OH 43015-4503
Phone
(740) 368-3670
Fax
(740) 994-9218
NPI assigned
Jul 11, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 3, 2013

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

Authorized official

Name
Lawand Saadulla, MDNPI 1801009451
Title
Owner
Phone
(740) 362-3670

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: 193200000X MULTI-SPECIALTY GROUP 207RN0300X Primary

Addresses

Primary practice location

36 Troy Rd
Delaware, OH 43015-4503

Mailing address

36 Troy Rd
Delaware, OH 43015-4503
Phone (740) 362-3670

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20131120002027 OH Part B Supplier - Clinic/Group Practice 3678709615 Receives reassigned benefits from 1 practitioner
Practice locations: Delaware, OH

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1373500800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1378166400000",
    "number": "1497196026",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "36 TROY RD",
            "city": "DELAWARE",
            "state": "OH",
            "postal_code": "430154503",
            "telephone_number": "740-362-3670",
            "fax_number": "740-994-9218"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "36 TROY RD",
            "city": "DELAWARE",
            "state": "OH",
            "postal_code": "430154503",
            "telephone_number": "740-368-3670",
            "fax_number": "740-994-9218"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KIDNEY AND HYPERTENSION CENTER OF DELAWARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-07-11",
        "last_updated": "2013-09-03",
        "status": "A",
        "authorized_official_last_name": "SAADULLA",
        "authorized_official_first_name": "LAWAND",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "740-362-3670",
        "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 Delaware, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2013; 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.