Organization Active NPI

Total Kidney Care LLC

  • Nephrology Physician
  • Tampa, FL
National Provider Identifier
1710371745
Registry record updated Mar 27, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
Legal business name
TOTAL KIDNEY CARE LLC
Practice address
2810 W Saint Isabel St
Ste 101
Tampa, FL 33607-6375
Phone
(813) 873-7479
NPI assigned
Mar 27, 2015
Last updated
Mar 27, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 27, 2015

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

Authorized official

Name
Vankata Reddivari, M.D.
Title
Owner
Phone
(410) 370-1530

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X NU Primary

Addresses

Primary practice location

2810 W Saint Isabel St
Ste 101
Tampa, FL 33607-6375

Mailing address

PO Box 14657
Clearwater, FL 33766-4657
Phone (727) 797-6768

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1427414400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1427414400000",
    "number": "1710371745",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 14657",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337664657",
            "telephone_number": "727-797-6768",
            "fax_number": "727-797-7648"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2810 W SAINT ISABEL ST",
            "address_2": "STE 101",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336076375",
            "telephone_number": "813-873-7479"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TOTAL KIDNEY CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-03-27",
        "last_updated": "2015-03-27",
        "status": "A",
        "authorized_official_last_name": "REDDIVARI",
        "authorized_official_first_name": "VANKATA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "410-370-1530",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tampa, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2015; 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.