Organization Active NPI

Mohawk Valley Nephrology PLLC

  • Nephrology Physician
  • Utica, NY
National Provider Identifier
1639080260
Registry record updated Sep 14, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
Legal business name
MOHAWK VALLEY NEPHROLOGY PLLC
Practice address
125 Business Park Dr Ste 150
Utica, NY 13502-6322
Phone
(315) 735-3541
Fax
(315) 724-3255
NPI assigned
Sep 14, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 14, 2026

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

Authorized official

Name
Dr. Ahmad S Mian, MD
Title
Owner/Sole Member
Phone
(315) 735-3541

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RN0300X Primary

Addresses

Primary practice location

125 Business Park Dr Ste 150
Utica, NY 13502-6322

Mailing address

125 Business Park Dr Ste 150
Utica, NY 13502-6322
Phone (315) 735-3541

NPI Registry JSON

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

{
    "created_epoch": "1789344000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1789344000000",
    "number": "1639080260",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "125 BUSINESS PARK DR STE 150",
            "city": "UTICA",
            "state": "NY",
            "postal_code": "135026322",
            "telephone_number": "315-735-3541",
            "fax_number": "315-724-3255"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "125 BUSINESS PARK DR STE 150",
            "city": "UTICA",
            "state": "NY",
            "postal_code": "135026322",
            "telephone_number": "315-735-3541",
            "fax_number": "315-724-3255"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOHAWK VALLEY NEPHROLOGY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-09-14",
        "last_updated": "2026-09-14",
        "certification_date": "2026-09-14",
        "status": "A",
        "authorized_official_last_name": "MIAN",
        "authorized_official_first_name": "AHMAD",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "OWNER/SOLE MEMBER",
        "authorized_official_telephone_number": "315-735-3541",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Nephrology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Utica, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.