Organization Active NPI

Aurora Kidney LLC

  • Nephrology Physician
  • Anchorage, AK
National Provider Identifier
1659417137
Registry record updated Apr 21, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
Legal business name
AURORA KIDNEY LLC
Practice address
3260 Providence Dr Ste 528
Anchorage, AK 99508-4608
Phone
(907) 770-7213
Fax
(907) 770-7214
NPI assigned
Jan 30, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 21, 2021

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

Authorized official

Name
Stephanie Schow
Title
Billing Agent/Practice Manager
Phone
(907) 770-7213

Specialties & licenses 1

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

Addresses

Primary practice location

3260 Providence Dr Ste 528
Anchorage, AK 99508-4608

Mailing address

3260 Providence Dr Ste 528
Anchorage, AK 99508-4608
Phone (907) 770-7213

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070321000588 AK Part B Supplier - Clinic/Group Practice 7214030782 Receives reassigned benefits from 3 practitioners
Practice locations: Anchorage, AK

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
02D1064495Aurora Kidney LLC3260 Providence Drive Suite 528, Anchorage, AK 99508Provider-performed microscopySep 30, 2027

National Provider Directory

National Provider Directory

Locations

3260 Providence Dr
Ste 326
Anchorage, AK 99508
Phone (907) 562-2712

Practitioners & affiliated clinicians

Practitioners 5

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": "1170115200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1618963200000",
    "number": "1659417137",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3260 PROVIDENCE DR STE 528",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995084608",
            "telephone_number": "907-770-7213",
            "fax_number": "907-770-7214"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3260 PROVIDENCE DR STE 528",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995084608",
            "telephone_number": "907-770-7213",
            "fax_number": "907-770-7214"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AURORA KIDNEY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-30",
        "last_updated": "2021-04-21",
        "certification_date": "2021-04-21",
        "status": "A",
        "authorized_official_last_name": "SCHOW",
        "authorized_official_first_name": "STEPHANIE",
        "authorized_official_title_or_position": "BILLING AGENT/PRACTICE MANAGER",
        "authorized_official_telephone_number": "907-770-7213"
    },
    "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 Anchorage, AK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.