Organization Active NPI

South Hills Nephrology Associates PC

  • Internal Medicine Physician
  • Clairton, PA
National Provider Identifier
1609946466
Registry record updated Jul 10, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
MD038478L Issued in PA
Legal business name
SOUTH HILLS NEPHROLOGY ASSOCIATES PC
Practice address
575 Coal Valley Rd
Ste 264
Clairton, PA 15025-3716
Phone
(412) 466-2220
Fax
(412) 466-4048
NPI assigned
Nov 9, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 10, 2008

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

Authorized official

Name
Rajni Wallia
Title
MD
Phone
(412) 466-2220

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X MD038478L PA Primary
Nephrology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RN0300X MD038478L PA

Addresses

Primary practice location

575 Coal Valley Rd
Ste 264
Clairton, PA 15025-3716

Mailing address

575 Coal Valley Rd
Ste 264
Clairton, PA 15025-3716
Phone (412) 466-2220

Other identifiers 2

IdentifierTypeStateIssuer
1691666OtherPAHIGHMARK BC/BS
0010585890002MedicaidPA

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1163030400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1215648000000",
    "number": "1609946466",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "575 COAL VALLEY RD",
            "address_2": "STE 264",
            "city": "CLAIRTON",
            "state": "PA",
            "postal_code": "150253716",
            "telephone_number": "412-466-2220",
            "fax_number": "412-466-4048"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "575 COAL VALLEY RD",
            "address_2": "STE 264",
            "city": "CLAIRTON",
            "state": "PA",
            "postal_code": "150253716",
            "telephone_number": "412-466-2220",
            "fax_number": "412-466-4048"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTH HILLS NEPHROLOGY ASSOCIATES PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-09",
        "last_updated": "2008-07-10",
        "status": "A",
        "authorized_official_last_name": "WALLIA",
        "authorized_official_first_name": "RAJNI",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "412-466-2220"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "PA",
            "license": "MD038478L",
            "primary": true
        },
        {
            "code": "207RN0300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Nephrology",
            "state": "PA",
            "license": "MD038478L",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARK BC/BS",
            "identifier": "1691666",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0010585890002",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Clairton, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2008; 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.