Pittsburgh Kidney Care LLC

Primary specialty

Nephrology PhysicianTaxonomy code 207RN0300X

Legal business name

PITTSBURGH KIDNEY CARE LLC

Practice address

575 Coal Valley Rd Ste 204
Clairton, PA 15025-3724

Phone

(412) 466-2220

Fax

(412) 466-4048

NPI assigned

May 16, 2016

Last updated

Jul 25, 2024By 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

Ryan Valle

Title

President

Phone

(781) 699-9362

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in PA

Enrollment records 1

Locations

Practitioners 19

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.

• Gautam Agrawal, M.D , M.P.H

  • Nephrology Physician
  • Greensburg, PA
  • NPI 1063737070
  Medicare reassignment Care Compare group NPD
• Shoaib Ali, M.D.

  • Nephrology Physician
  • Uniontown, PA
  • NPI 1124236211
  Medicare reassignment Care Compare group NPD
• Brittney M Boehm, FNP

  • Nurse Practitioner
  • Uniontown, PA
  • NPI 1144676388
  Medicare reassignment Care Compare group NPD
• Gina Marie Cross, CRNP

  • Nurse Practitioner
  • Charleroi, PA
  • NPI 1124387915
  Medicare reassignment Care Compare group NPD
• Jessie Ganjoo, MD

  • Nephrology Physician
  • Meadville, PA
  • NPI 1326015587
  Medicare reassignment Care Compare group NPD
• Tariku Tadele Gudura, MD

  • Nephrology Physician
  • Charleroi, PA
  • NPI 1255861001
  Medicare reassignment Care Compare group NPD
• Justin Jeffries, CRNP

  • Nurse Practitioner
  • Greensburg, PA
  • NPI 1780138123
  Medicare reassignment Care Compare group NPD
• Riyaj Anil Kasekar, MD

  • Nephrology Physician
  • Clairton, PA
  • NPI 1356504161
  Medicare reassignment Care Compare group NPD
• Kelly L Keegan, CRNP

  • Nurse Practitioner
  • Uniontown, PA
  • NPI 1528109295
  Medicare reassignment Care Compare group NPD
• Sudha M Nayar, M.D.

  • Nephrology Physician
  • Charleroi, PA
  • NPI 1396739389
  Medicare reassignment Care Compare group NPD
• Oluwaseun Taofeek Oluwo, MD

  • Nephrology Physician
  • Uniontown, PA
  • NPI 1437504172
  Medicare reassignment Care Compare group NPD
• Amala Kanury, M.D

  • Nephrology Physician
  • Dallas, TX
  • NPI 1992064836

  PA

  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1463356800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1721865600000",
    "number": "1699122069",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "575 COAL VALLEY RD STE 204",
            "city": "CLAIRTON",
            "state": "PA",
            "postal_code": "150253724",
            "telephone_number": "412-466-2220",
            "fax_number": "412-466-4048"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "575 COAL VALLEY RD STE 204",
            "city": "CLAIRTON",
            "state": "PA",
            "postal_code": "150253724",
            "telephone_number": "412-466-2220",
            "fax_number": "412-466-4048"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2000 Summit Ridge Plz",
            "address_purpose": "LOCATION",
            "city": "MT Pleasant",
            "state": "PA",
            "postal_code": "156661908",
            "country_code": "US",
            "telephone_number": "724-836-8303",
            "fax_number": "724-836-8311",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "160 Wayland Smith Dr Ste 102",
            "address_purpose": "LOCATION",
            "city": "Uniontown",
            "state": "PA",
            "postal_code": "154017500",
            "country_code": "US",
            "telephone_number": "724-438-3300",
            "fax_number": "724-438-3366",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "17 Arentzen Blvd Ste 204",
            "address_purpose": "LOCATION",
            "city": "Charleroi",
            "state": "PA",
            "postal_code": "150221085",
            "country_code": "US",
            "telephone_number": "724-489-0220",
            "fax_number": "724-489-0855",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1275 S Main St Ste 202",
            "address_purpose": "LOCATION",
            "city": "Greensburg",
            "state": "PA",
            "postal_code": "156015385",
            "country_code": "US",
            "telephone_number": "724-836-8303",
            "fax_number": "724-836-8311",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "PITTSBURGH KIDNEY CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-05-16",
        "last_updated": "2024-07-25",
        "certification_date": "2024-07-25",
        "status": "A",
        "authorized_official_last_name": "VALLE",
        "authorized_official_first_name": "RYAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "781-699-9362"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "10321793600",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Penn Help Home Care LLC
• Lucas Phillip Perez
• Molly Perkins, MD
• Leah Helene Perrino, PA-C
• Marissa Phillippi, PA-C
• Pittsburgh Medical Associates, P.C.
• Pleasant Hills Apothecary
• Pleasant Hills RX LLC (Pleasant Hills Pharmacy)
• Pleasant Hills RX LLC (Pleasant Hills Pharmacy)
• Edward D. Poon, M.D.

• Nephrology Physician in Clairton, PA
• Providers in Clairton, PA by specialty
• Nephrology Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2024; 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.