Organization Active NPI

Hamilton Nephrology LLC

  • Nephrology Physician
  • Carmel, IN
National Provider Identifier
1669791778
Registry record updated Nov 9, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
0165976A Issued in IN
Legal business name
HAMILTON NEPHROLOGY LLC
Practice address
484 E Carmel Dr Ste 309
Carmel, IN 46032-2812
Phone
(317) 660-1379
Fax
(317) 663-1155
NPI assigned
May 28, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 9, 2012

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

Authorized official

Name
Dr. Daniel Amalio Anzaldua, M.D.
Title
Nephrologist
Phone
(317) 660-1379

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RN0300X 0165976A IN Primary

Addresses

Primary practice location

484 E Carmel Dr Ste 309
Carmel, IN 46032-2812

Mailing address

484 E Carmel Dr Ste 309
Carmel, IN 46032-2812
Phone (317) 660-1379

National Provider Directory

National Provider Directory

Locations

13648 Olivia Way
Fishers, IN 46037
Phone (317) 353-8985

295 Westfield Rd
Noblesville, IN 46060
Phone (317) 773-3760

Practitioners & affiliated clinicians

Practitioners 2

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": "1275004800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1352419200000",
    "number": "1669791778",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "484 E CARMEL DR STE 309",
            "city": "CARMEL",
            "state": "IN",
            "postal_code": "460322812",
            "telephone_number": "317-660-1379",
            "fax_number": "317-663-1155"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "484 E CARMEL DR STE 309",
            "city": "CARMEL",
            "state": "IN",
            "postal_code": "460322812",
            "telephone_number": "317-660-1379",
            "fax_number": "317-663-1155"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HAMILTON NEPHROLOGY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-05-28",
        "last_updated": "2012-11-09",
        "status": "A",
        "authorized_official_last_name": "ANZALDUA",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_middle_name": "AMALIO",
        "authorized_official_title_or_position": "NEPHROLOGIST",
        "authorized_official_telephone_number": "317-660-1379",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Nephrology",
            "state": "IN",
            "license": "0165976A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Carmel, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2012; 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.