Organization Active NPI

Renal Medicine, Inc.

  • Specialist
  • Warrensville Heights, OH
National Provider Identifier
1831300045
Registry record updated Jul 10, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
35-062526 Issued in OH
Legal business name
RENAL MEDICINE, INC.
Practice address
4200 Warrensville Center Rd
Suite 210
Warrensville Heights, OH 44122-7051
Phone
(216) 491-7205
Fax
(216) 491-7206
NPI assigned
May 28, 2007
Last updated
Jul 10, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 10, 2012

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

Authorized official

Name
Dr. Satnam SandhuNPI 1790769149
Title
Owner
Phone
(440) 346-4427

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 35-062526 OH Primary

Addresses

Primary practice location

4200 Warrensville Center Rd
Suite 210
Warrensville Heights, OH 44122-7051

Mailing address

PO Box 74376
Cleveland, OH 44194-0002
Phone (216) 491-7205

Other identifiers 1

IdentifierTypeStateIssuer
0892422MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040326000542 OH Part B Supplier - Clinic/Group Practice 0941192728 Receives reassigned benefits from 3 practitioners
Practice locations: Beachwood, OH

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
36D2180831Renal Medicine Inc4200 Warrensville Center Rd, Warrensville Heights, OH 44122Provider-performed microscopyMar 19, 2028

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1180310400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1341878400000",
    "number": "1831300045",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 74376",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441940002",
            "telephone_number": "216-491-7205",
            "fax_number": "216-491-7206"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4200 WARRENSVILLE CENTER RD",
            "address_2": "SUITE 210",
            "city": "WARRENSVILLE HEIGHTS",
            "state": "OH",
            "postal_code": "441227051",
            "telephone_number": "216-491-7205",
            "fax_number": "216-491-7206"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RENAL MEDICINE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-28",
        "last_updated": "2012-07-10",
        "status": "A",
        "authorized_official_last_name": "SANDHU",
        "authorized_official_first_name": "SATNAM",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "440-346-4427",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "OH",
            "license": "35-062526",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0892422",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Warrensville Heights, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2012; 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.