Organization Active NPI

Govani Kidney Care LLC

  • Nephrology Physician
  • Lakewood, OH
National Provider Identifier
1578057865
Registry record updated Jun 19, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
35.134182 Issued in OH
Legal business name
GOVANI KIDNEY CARE LLC
Practice address
15644 Madison Ave Ste 211
Lakewood, OH 44107-5622
Phone
(734) 223-5593
Fax
(216) 521-5351
NPI assigned
Jun 19, 2018
Last updated
Jun 19, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 19, 2018

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

Authorized official

Name
Dr. Maulik Govani, MDNPI 1932540820
Title
Physician (Solo Member)
Phone
(734) 223-5593

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X 35.134182 OH Primary

Addresses

Primary practice location

15644 Madison Ave Ste 211
Lakewood, OH 44107-5622

Mailing address

15644 Madison Ave Ste 211
Lakewood, OH 44107-5622
Phone (734) 223-5593

National Provider Directory

National Provider Directory

Locations

15644 Madison Ave
Ste 211
Lakewood, OH 44107
Phone (216) 472-1404

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1529366400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1529366400000",
    "number": "1578057865",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15644 MADISON AVE STE 211",
            "city": "LAKEWOOD",
            "state": "OH",
            "postal_code": "441075622",
            "telephone_number": "734-223-5593",
            "fax_number": "216-521-5351"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15644 MADISON AVE STE 211",
            "city": "LAKEWOOD",
            "state": "OH",
            "postal_code": "441075622",
            "telephone_number": "734-223-5593",
            "fax_number": "216-521-5351"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOVANI KIDNEY CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-06-19",
        "last_updated": "2018-06-19",
        "status": "A",
        "authorized_official_last_name": "GOVANI",
        "authorized_official_first_name": "MAULIK",
        "authorized_official_title_or_position": "PHYSICIAN (SOLO MEMBER)",
        "authorized_official_telephone_number": "734-223-5593",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "OH",
            "license": "35.134182",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lakewood, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.