Mohave Nephrology,PC

Primary specialty

Nephrology PhysicianTaxonomy code 207RN0300X

License

27022 Issued in AZ

Legal business name

MOHAVE NEPHROLOGY,PC

Practice address

3535 E Andy Devine Ave
Kingman, AZ 86401-3412

Phone

(928) 757-2050

Fax

(928) 757-2020

NPI assigned

Apr 13, 2010

Last updated

Feb 4, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Vijayavel Palanichamy, M.D.NPI 1811908510

Title

Pres

Phone

(928) 757-2050

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in AZ

Enrollment records 1

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

CLIA laboratory certificates

Locations

Practitioners 3

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.

• Vijayavel Palanichamy, MD

  • Nephrology Physician
  • Kingman, AZ
  • NPI 1811908510
  Medicare reassignment NPD Authorized official
• Sheila R Mane, MD

  • Internal Medicine Physician
  • Kingman, AZ
  • NPI 1720009814
  NPD (past)
• Vinod Kumar Singh, MD

  • Gastroenterology Physician
  • Hereford, AZ
  • NPI 1083636641
  NPD (past)

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

{
    "created_epoch": "1271116800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1391472000000",
    "number": "1669798823",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3535 E ANDY DEVINE AVE",
            "city": "KINGMAN",
            "state": "AZ",
            "postal_code": "864013412",
            "telephone_number": "928-757-2050",
            "fax_number": "928-757-2020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3535 E ANDY DEVINE AVE",
            "city": "KINGMAN",
            "state": "AZ",
            "postal_code": "864013412",
            "telephone_number": "928-757-2050",
            "fax_number": "928-757-2020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOHAVE NEPHROLOGY,PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-04-13",
        "last_updated": "2014-02-04",
        "status": "A",
        "authorized_official_last_name": "PALANICHAMY",
        "authorized_official_first_name": "VIJAYAVEL",
        "authorized_official_title_or_position": "PRES",
        "authorized_official_telephone_number": "928-757-2050",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "AZ",
            "license": "27022",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "442682-02",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mohave Mental Health Clinic Inc
• Mohave Mental Health Clinic Inc
• Mohave Mental Health Clinic Inc
• Mohave Mental Health Clinic Inc
• Mohave Mental Health Clinic, Inc.
• Mohave Neurofeedback Clinic, LLC (Mohave Neurofeedback)
• Mohave Primary Care
• Monolith Diagnostics, PC
• Monson Chiropractic LLC
• Ernest S Monson, NP

• Nephrology Physician in Kingman, AZ
• Providers in Kingman, AZ by specialty
• Nephrology Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2014; 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.