Organization Active NPI

Hornell Internal Medicine & Nephrology, PC

  • Nephrology Physician
  • Hornell, NY
National Provider Identifier
1841385564
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
127174 Issued in NY
Legal business name
HORNELL INTERNAL MEDICINE & NEPHROLOGY, PC
Practice address
343 Seneca Rd
Hornell, NY 14843-1033
Phone
(607) 324-3794
Fax
(607) 324-3795
NPI assigned
Oct 4, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Authorized official

Name
Dr. Mavidi K Hariprasad, MD
Title
President
Phone
(607) 324-3794

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X 127174 NY
Nephrology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RN0300X 127174 NY Primary

Addresses

Primary practice location

343 Seneca Rd
Hornell, NY 14843-1033

Mailing address

343 Seneca Rd
Hornell, NY 14843-1033
Phone (607) 324-3794

Other identifiers 2

IdentifierTypeStateIssuer
00460031MedicaidNY
BT9MedicaidNY

National Provider Directory

National Provider Directory

Locations

343 Seneca Rd
Hornell, NY 14843
Phone (607) 324-3444

NPI Registry JSON

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

{
    "created_epoch": "1159920000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1841385564",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "343 SENECA RD",
            "city": "HORNELL",
            "state": "NY",
            "postal_code": "148431033",
            "telephone_number": "607-324-3794",
            "fax_number": "607-324-3795"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "343 SENECA RD",
            "city": "HORNELL",
            "state": "NY",
            "postal_code": "148431033",
            "telephone_number": "607-324-3794",
            "fax_number": "607-324-3795"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HORNELL INTERNAL MEDICINE & NEPHROLOGY, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-04",
        "last_updated": "2025-09-11",
        "status": "A",
        "authorized_official_last_name": "HARIPRASAD",
        "authorized_official_first_name": "MAVIDI",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "607-324-3794",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "127174",
            "primary": false
        },
        {
            "code": "207RN0300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Nephrology",
            "state": "NY",
            "license": "127174",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00460031",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "BT9",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hornell, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.