Organization Active NPI

Nephrology Consultants PA

  • Specialist
  • Daytona Beach, FL
National Provider Identifier
1619900131
Registry record updated Sep 18, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Legal business name
NEPHROLOGY CONSULTANTS PA
Practice address
544 Health Blvd
Daytona Beach, FL 32114-1492
Phone
(386) 258-6522
Fax
(386) 254-8803
NPI assigned
Jul 8, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 18, 2007

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

Authorized official

Name
Vinod Patel, M.D.
Title
Ceo Medical Doctor
Phone
(386) 258-6522

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X FL Primary

Addresses

Primary practice location

544 Health Blvd
Daytona Beach, FL 32114-1492

Mailing address

544 Health Blvd
Daytona Beach, FL 32114-1492
Phone (386) 258-6522

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040818001337 FL Part B Supplier - Clinic/Group Practice 6608849468 Receives reassigned benefits from 2 practitioners
Practice locations: Daytona Beach, FL

National Provider Directory

National Provider Directory

Locations

401 Lakebridge Plaza Dr
Ormond Beach, FL 32174
Phone (386) 672-8595

Practitioners & affiliated clinicians

Practitioners 6

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": "1152316800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1190073600000",
    "number": "1619900131",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "544 HEALTH BLVD",
            "city": "DAYTONA BEACH",
            "state": "FL",
            "postal_code": "321141492",
            "telephone_number": "386-258-6522",
            "fax_number": "386-254-8803"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "544 HEALTH BLVD",
            "city": "DAYTONA BEACH",
            "state": "FL",
            "postal_code": "321141492",
            "telephone_number": "386-258-6522",
            "fax_number": "386-254-8803"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEPHROLOGY CONSULTANTS PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-08",
        "last_updated": "2007-09-18",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "VINOD",
        "authorized_official_title_or_position": "CEO MEDICAL DOCTOR",
        "authorized_official_telephone_number": "386-258-6522",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "FL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Daytona Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2007; 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.