Internal Medicine Kidney & Hypertension Center PC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

0101024987 Issued in VA

Legal business name

INTERNAL MEDICINE KIDNEY & HYPERTENSION CENTER PC

Practice address

5700 Lake Wright Dr Ste 101
Norfolk, VA 23502-1859

Phone

(757) 502-4840

Fax

(757) 502-4841

NPI assigned

Dec 4, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Humberto F. Pavon, M.D.NPI 1588661219

Title

President

Phone

(757) 502-4840

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in VA

Enrollment records 1

Locations

Interoperability endpoints

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

Practitioners 2

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

• Humberto F Pavon, M.D.

  • Internal Medicine Physician
  • Norfolk, VA
  • NPI 1588661219
  Medicare reassignment NPD Authorized official
• Elizabeth B Paluszek, CFNP

  • Family Nurse Practitioner
  • Norfolk, VA
  • NPI 1821014481
  NPD (past)

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

{
    "created_epoch": "1165190400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1434585600000",
    "number": "1497823728",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5700 LAKE WRIGHT DR STE 101",
            "city": "NORFOLK",
            "state": "VA",
            "postal_code": "235021859",
            "telephone_number": "757-502-4840",
            "fax_number": "757-502-4841"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5700 LAKE WRIGHT DR STE 101",
            "city": "NORFOLK",
            "state": "VA",
            "postal_code": "235021859",
            "telephone_number": "757-502-4840",
            "fax_number": "757-502-4841"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTERNAL MEDICINE KIDNEY & HYPERTENSION CENTER PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-04",
        "last_updated": "2015-06-18",
        "status": "A",
        "authorized_official_last_name": "PAVON",
        "authorized_official_first_name": "HUMBERTO",
        "authorized_official_middle_name": "F.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "757-502-4840",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "VA",
            "license": "0101024987",
            "primary": true
        },
        {
            "code": "207RN0300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Nephrology",
            "state": "VA",
            "license": "0101024987",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• International Home Health Care
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• Tariq Iqbal, M.D.,
• Ira Lederman MD PC

• Internal Medicine Physician in Norfolk, VA
• Providers in Norfolk, VA by specialty
• Internal Medicine Physician in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2015; 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.