Organization Active NPI

Southwest Kidney Institute, PLC

  • Nephrology Physician
  • Tempe, AZ
National Provider Identifier
1659316008
Registry record updated Nov 6, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
Legal business name
SOUTHWEST KIDNEY INSTITUTE, PLC
Practice address
2141 E Warner Rd
Suite 101
Tempe, AZ 85284-3493
Phone
(480) 969-8714
Fax
(480) 464-0189
NPI assigned
Jun 19, 2006
Last updated
Nov 6, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 6, 2012

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

Authorized official

Name
Gurdev Singh, M.D.NPI 1861486607
Title
VP of Finance
Phone
(480) 610-6100

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RN0300X Primary

Addresses

Primary practice location

2141 E Warner Rd
Suite 101
Tempe, AZ 85284-3493

Mailing address

2149 E Warner Rd
Suite 101
Tempe, AZ 85284-3494
Phone (480) 610-6100

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040211001069 AZ Part B Supplier - Clinic/Group Practice 8224930987 Receives reassigned benefits from 115 practitioners
2 other NPIs on this enrollment
Practice locations: Phoenix, AZ; Prescott, AZ; Safford, AZ; San Tan Valley, AZ; Scottsdale, AZ; Sierra Vista, AZ; Sun City, AZ; Sun Lakes, AZ…

Other NPIs on the same Medicare enrollment 2

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory

Locations (25 of 56)

803 N Salk Dr
Bldg B
Casa Grande, AZ 85122
Phone (480) 962-4281

617 N Humphreys St
Flagstaff, AZ 86001

617 N Humphreys St
Ste 102
Flagstaff, AZ 86001

5330 S Highway 95
Ste M
Fort Mohave, AZ 86426

16838 E Palisades Blvd
#100
Fountain Hills, AZ 85268

16838 E Palisades Blvd
Ste C100
Fountain Hills, AZ 85268

1501 N Gilbert Rd
Ste 107
Gilbert, AZ 85234

3717 S Rome St
Gilbert, AZ 85297

3717 S Rome St
Ste 104
Gilbert, AZ 85297

5884 S Hospital Dr
Globe, AZ 85501

5886 S Hospital Dr
Bldg E
Globe, AZ 85501

14620 W Encanto Blvd
Ste 110
Goodyear, AZ 85395
Phone (623) 526-3332

400 W Camino Casa Verde
Ste 150
Green Valley, AZ 85614

695 S Pecan Tree Ln
Green Valley, AZ 85614
Phone (520) 625-8116

2005 Injo Dr
Lake Havasu City, AZ 86403

301 S Power Rd
Mesa, AZ 85206

301 S Power Rd
Ste 13
Mesa, AZ 85206

1209 W Target Range Rd
Ste 102
Nogales, AZ 85621
Phone (520) 287-4020

1824 E Innovation Park Dr
Oro Valley, AZ 85755

127 E Main St
Payson, AZ 85541
Phone (928) 474-2888

13943 N 91st Ave
Bldg H
Peoria, AZ 85381

7362 W Thunderbird Rd
Peoria, AZ 85381
Phone (602) 843-5455

1111 E McDowell Rd
Ste B
Phoenix, AZ 85006
Phone (602) 258-1521

2525 W Carefree Hwy
Phoenix, AZ 85085
Phone (602) 840-0681

2525 W Carefree Hwy
Ste 156
Phoenix, AZ 85085
Phone (623) 243-5565

Practitioners & affiliated clinicians

Practitioners 165

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.

View all 165

NPI Registry JSON

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

{
    "created_epoch": "1150675200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1352160000000",
    "number": "1659316008",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2149 E WARNER RD",
            "address_2": "SUITE 101",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "852843494",
            "telephone_number": "480-610-6100",
            "fax_number": "480-610-6195"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2141 E WARNER RD",
            "address_2": "SUITE 101",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "852843493",
            "telephone_number": "480-969-8714",
            "fax_number": "480-464-0189"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHWEST KIDNEY INSTITUTE, PLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-19",
        "last_updated": "2012-11-06",
        "status": "A",
        "authorized_official_last_name": "SINGH",
        "authorized_official_first_name": "GURDEV",
        "authorized_official_title_or_position": "VP OF FINANCE",
        "authorized_official_telephone_number": "480-610-6100",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Nephrology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tempe, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2012; 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.