NPIMap

Individual provider Active NPI

Elkin O Estrada, MD

  • Nephrology Physician
  • Providence, RI
National Provider Identifier
1811995509
Registry record updated Jul 12, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
MD10888 Issued in RI
Practice address
1076 N Main St
Providence, RI 02904-5760
Phone
(401) 861-7711
Fax
(401) 421-5710
NPI assigned
Jul 7, 2005
Last updated
Jul 12, 2010By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 12, 2010

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X MD10888 RI
Nephrology Physician 207RN0300X MD10888 RI Primary

Addresses

Primary practice location

1076 N Main St
Providence, RI 02904-5760

Mailing address

1076 N Main St
Providence, RI 02904-5760
Phone (401) 861-7711

Other identifiers 1

IdentifierTypeStateIssuer
7009622MedicaidRI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in RI
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101111000531 RI Practitioner - NephrologyPractitioner - Internal Medicine 7618162033 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
NephrologyAlso: Internal Medicine
Education
Howard University College of Medicine, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hypertension and Nephrology, Inc.Group PAC ID 4981619558, 5 clinicians

Practice addresses (Care Compare)

1076 N Main St
Providence, RI 02904-5760
Phone (401) 861-7711

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as individual
Quality
100
Promoting interoperability
95
Improvement activities
40
Cost
87.95

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Hypertension & Nephrology, Inc. CurrentSince Jul 1, 2002 Accepting new patients

Locations

1 Commerce St
Ste 2
Lincoln, RI 02865
Phone (401) 793-8392

1076 N Main St
Providence, RI 02904
Phone (401) 273-2460

400 Bald Hill Rd
Ste 523
Warwick, RI 02886
Phone (401) 861-7711

Interoperability endpoints

  • Direct secure messaging: elkin.estrada.1@25334.direct.athenahealth.com

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 14

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1120694400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1278892800000",
    "number": "1811995509",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1076 N MAIN ST",
            "city": "PROVIDENCE",
            "state": "RI",
            "postal_code": "029045760",
            "telephone_number": "401-861-7711",
            "fax_number": "401-421-5710"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1076 N MAIN ST",
            "city": "PROVIDENCE",
            "state": "RI",
            "postal_code": "029045760",
            "telephone_number": "401-861-7711",
            "fax_number": "401-421-5710"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ESTRADA",
        "first_name": "ELKIN",
        "middle_name": "O",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-07",
        "last_updated": "2010-07-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "RI",
            "license": "MD10888",
            "primary": false
        },
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "RI",
            "license": "MD10888",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7009622",
            "state": "RI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Providence, RI

Sources for this page

Verify at the official NPI Registry.