NPIMap

Organization Active NPI

Nephrology Associates, Inc.

  • Specialist
  • Youngstown, OH
National Provider Identifier
1841217825
Registry record updated Oct 21, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
35067831 Issued in OH
Legal business name
NEPHROLOGY ASSOCIATES, INC.
Practice address
807 Southwestern Run
Youngstown, OH 44514-3688
Phone
(330) 729-0059
Fax
(330) 729-9297
NPI assigned
Jul 16, 2006
Last updated
Oct 21, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 21, 2014

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

Authorized official

Name
Erdal Sarac, M.D.NPI 1821072752
Title
President
Phone
(330) 729-0059

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 35067831 OH Primary

Addresses

Primary practice location

807 Southwestern Run
Youngstown, OH 44514-3688

Mailing address

807 Southwestern Run
Youngstown, OH 44514-3688
Phone (330) 729-0059

Other identifiers 1

IdentifierTypeStateIssuer
2621452MedicaidOH

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050722000477 OH Part B Supplier - Clinic/Group Practice 0840227674 Receives reassigned benefits from 15 practitioners
Practice locations: Poland, 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
36D1010083Nephrology Associates, Inc807 Southwestern Run, Youngstown, OH 44514Provider-performed microscopyMar 4, 2027

National Provider Directory

National Provider Directory
Tax ID family
Nephrology Associates2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

750 E Park Ave
#D
Columbiana, OH 44408
Phone (330) 729-0059

350 E Market St
Warren, OH 44481

3622 Belmont Ave
Ste 22
Youngstown, OH 44505
Phone (330) 759-0059

807 Southwestern Run
Youngstown, OH 44514
Phone (330) 729-0059

Practitioners & affiliated clinicians

Practitioners 18

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.

View all 18

NPI Registry JSON

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

{
    "created_epoch": "1153008000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1413849600000",
    "number": "1841217825",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "807 SOUTHWESTERN RUN",
            "city": "YOUNGSTOWN",
            "state": "OH",
            "postal_code": "445143688",
            "telephone_number": "330-729-0059",
            "fax_number": "330-729-9297"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "807 SOUTHWESTERN RUN",
            "city": "YOUNGSTOWN",
            "state": "OH",
            "postal_code": "445143688",
            "telephone_number": "330-729-0059",
            "fax_number": "330-729-9297"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEPHROLOGY ASSOCIATES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-16",
        "last_updated": "2014-10-21",
        "status": "A",
        "authorized_official_last_name": "SARAC",
        "authorized_official_first_name": "ERDAL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "330-729-0059",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "OH",
            "license": "35067831",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2621452",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Youngstown, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2014; 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.