NPIMap

Organization Active NPI

Southern Indiana Nephrology and Hypertension Inc

  • Nephrology Physician
  • Columbus, IN
National Provider Identifier
1790797918
Registry record updated Nov 2, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
Legal business name
SOUTHERN INDIANA NEPHROLOGY AND HYPERTENSION INC
Practice address
940 N Marr Rd Ste B
Columbus, IN 47201-2610
Phone
(812) 375-0272
Fax
(812) 375-1093
NPI assigned
Aug 13, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 2, 2020

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

Authorized official

Name
Russell James Pikus, M.D.
Title
President
Phone
(812) 375-0272

Specialties & licenses 1

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

Addresses

Primary practice location

940 N Marr Rd Ste B
Columbus, IN 47201-2610

Mailing address

940 N Marr Rd Ste B
Columbus, IN 47201-2610
Phone (812) 375-0272

Other identifiers 1

IdentifierTypeStateIssuer
200423640MedicaidIN

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address rpikus7654@edirect.crh.org Direct

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1155427200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1604275200000",
    "number": "1790797918",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "940 N MARR RD STE B",
            "city": "COLUMBUS",
            "state": "IN",
            "postal_code": "472012610",
            "telephone_number": "812-375-0272",
            "fax_number": "812-375-1093"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "940 N MARR RD STE B",
            "city": "COLUMBUS",
            "state": "IN",
            "postal_code": "472012610",
            "telephone_number": "812-375-0272",
            "fax_number": "812-375-1093"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHERN INDIANA NEPHROLOGY AND HYPERTENSION INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-13",
        "last_updated": "2020-11-02",
        "certification_date": "2020-11-02",
        "status": "A",
        "authorized_official_last_name": "PIKUS",
        "authorized_official_first_name": "RUSSELL",
        "authorized_official_middle_name": "JAMES",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "812-375-0272",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Nephrology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200423640",
            "state": "IN"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "rpikus7654@edirect.crh.org",
            "affiliation": "N",
            "endpointDescription": "Direct Address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Direct Address",
            "address_1": "940 N Marr Rd Ste B",
            "city": "Columbus",
            "state": "IN",
            "country_code": "US",
            "postal_code": "472012610",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Columbus, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2020; 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.