NPIMap

Individual provider Active NPI

Nitin Khosla, M.D.

  • Nephrology Physician
  • Hickory, NC
National Provider Identifier
1841368982
Registry record updated Oct 11, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
2021-02981 Issued in NC
Practice address
1899 Tate Blvd SE Ste 2101
Hickory, NC 28602-4200
Phone
(828) 327-7788
Fax
(828) 327-0112
NPI assigned
Nov 30, 2006
Last updated
Oct 11, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 11, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X 0101245881 VA
Nephrology Physician 207RN0300X 2021-02981 NC Primary

Addresses

Primary practice location

1899 Tate Blvd SE Ste 2101
Hickory, NC 28602-4200

Mailing address

6027 Walnut Grove Rd Ste 402
Memphis, TN 38120-2129

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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
I20211022000221 NC Practitioner - Nephrology 4789733023 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nephrology
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Piedmont Nephrology and Hypertension Associates PAGroup PAC ID 0244319986, 8 clinicians

Practice addresses (Care Compare)

2810 16TH St NE
Suite 200
Hickory, NC 28601-9600
Phone (828) 327-7700

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2021-02981NCMDNephrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Piedmont Nephrology & Hypertension Associates, PA CurrentSince Oct 12, 2021 Accepting new patients
Lynchburg Nephrology Physicians PLLC Past Accepting new patients
Mittal Kidney and Dialysis PastSince Apr 1, 2013 Accepting new patients
Kidney Care Center,P.L.L.C. Nephrology Past Accepting new patients

Locations

1899 Tate Blvd SE
Ste 2101
Hickory, NC 28602
Phone (704) 327-7788

2810 16th St NE
#200
Hickory, NC 28601
Phone (828) 327-7700

Interoperability endpoints

  • Direct secure messaging: nkhosla35929@direct.acumenmd.com

Organizations & group practices 4

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 12

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

NPI Registry JSON

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

{
    "created_epoch": "1164844800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1633910400000",
    "number": "1841368982",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6027 WALNUT GROVE RD STE 402",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381202129"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1899 TATE BLVD SE STE 2101",
            "city": "HICKORY",
            "state": "NC",
            "postal_code": "286024200",
            "telephone_number": "828-327-7788",
            "fax_number": "828-327-0112"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KHOSLA",
        "first_name": "NITIN",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-30",
        "last_updated": "2021-10-11",
        "certification_date": "2021-10-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "VA",
            "license": "0101245881",
            "primary": false
        },
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "NC",
            "license": "2021-02981",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hickory, NC

Sources for this page

Verify at the official NPI Registry.