Active NPI
Gateway Kidney Care II, LLC
- Nephrology Physician
- Denver, CO
National Provider Identifier
1720770407
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nephrology Physician
- Legal business name
- GATEWAY KIDNEY CARE II, LLC
- Practice address
- 1125 17TH St Ste 1000
Denver, CO 80202-2043 - Phone
- (855) 962-4638
- NPI assigned
- May 22, 2023
- Last updated
- Jun 30, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Laura Chandhok
- Title
- Director, Support Operations
- Phone
- (855) 962-4638
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nephrology Physician | 207RN0300X | Primary |
Addresses
Primary practice location
1125 17TH St Ste 1000
Denver, CO 80202-2043
Mailing address
1125 17TH St Ste 1000
Denver, CO 80202-2043
Phone (855) 962-4638
Other names 2
- Gateway Kidney Care, LLC
- Gateway Kidney Care
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MO
Enrollment records 1
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 15
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.
-
- Nurse Practitioner
- Saint Charles, MO
- NPI 1992085583
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1684713600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1782777600000",
"number": "1720770407",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1125 17TH ST STE 1000",
"city": "DENVER",
"state": "CO",
"postal_code": "802022043",
"telephone_number": "855-962-4638"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1125 17TH ST STE 1000",
"city": "DENVER",
"state": "CO",
"postal_code": "802022043",
"telephone_number": "855-962-4638"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GATEWAY KIDNEY CARE II, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2023-05-22",
"last_updated": "2026-06-30",
"certification_date": "2026-06-30",
"status": "A",
"authorized_official_last_name": "CHANDHOK",
"authorized_official_first_name": "LAURA",
"authorized_official_title_or_position": "DIRECTOR, SUPPORT OPERATIONS",
"authorized_official_telephone_number": "855-962-4638"
},
"taxonomies": [
{
"code": "207RN0300X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine, Nephrology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Gateway Kidney Care, LLC",
"code": "4",
"type": "Former Legal Business Name"
},
{
"organization_name": "Gateway Kidney Care",
"code": "5",
"type": "Other Name"
}
]
}Other providers in Denver, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2026; 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.