NPIMap

Organization Active NPI

Huntsville Renal Clinic, PC

  • Nephrology Physician
  • Huntsville, AL
National Provider Identifier
1831281849
Registry record updated Sep 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
Legal business name
HUNTSVILLE RENAL CLINIC, PC
Practice address
810 Franklin St SE
Suite a
Huntsville, AL 35801-4311
Phone
(256) 533-7676
Fax
(256) 533-3171
NPI assigned
Sep 28, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 13, 2023

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

Authorized official

Name
Karen Smelser
Title
Office Manager
Phone
(256) 533-7676

Specialties & licenses 1

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

Addresses

Primary practice location

810 Franklin St SE
Suite a
Huntsville, AL 35801-4311

Mailing address

810 Franklin St SE
Suite a
Huntsville, AL 35801-4311
Phone (256) 533-7676

Other identifiers 2

IdentifierTypeStateIssuer
000046537MedicaidAL
529908020MedicaidAL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL, TN2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20040625000492 AL Part B Supplier - Clinic/Group Practice 0749266237 Receives reassigned benefits from 17 practitioners
Practice locations: Huntsville, AL
O20120327000763 TN Part B Supplier - Clinic/Group Practice 0749266237 Receives reassigned benefits from 2 practitioners
Practice locations: Fayetteville, TN

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
01D0960714Huntsville Renal Clinic PC810 Franklin Street Suite a, Huntsville, AL 35801Certificate of waiverMay 17, 2027

National Provider Directory

National Provider Directory

Member organizations 1

Organizations listed as members of this organization in the National Provider Directory.

Locations

1849 Keats Dr NW
Huntsville, AL 35810
Phone (256) 852-8900

2325 Pansy St SW
Ste D
Huntsville, AL 35801

810 Franklin St SE
#A
Huntsville, AL 35801
Phone (256) 533-7676

1041 Balch Rd
Ste 310
Madison, AL 35758

Practitioners & affiliated clinicians

Practitioners 26

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 26

NPI Registry JSON

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

{
    "created_epoch": "1159401600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1694563200000",
    "number": "1831281849",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "810 FRANKLIN ST SE",
            "address_2": "SUITE A",
            "city": "HUNTSVILLE",
            "state": "AL",
            "postal_code": "358014311",
            "telephone_number": "256-533-7676",
            "fax_number": "256-533-3171"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "810 FRANKLIN ST SE",
            "address_2": "SUITE A",
            "city": "HUNTSVILLE",
            "state": "AL",
            "postal_code": "358014311",
            "telephone_number": "256-533-7676",
            "fax_number": "256-533-3171"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HUNTSVILLE RENAL CLINIC, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-28",
        "last_updated": "2023-09-13",
        "certification_date": "2023-09-13",
        "status": "A",
        "authorized_official_last_name": "SMELSER",
        "authorized_official_first_name": "KAREN",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "256-533-7676"
    },
    "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": "000046537",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "529908020",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Huntsville, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.