Active NPI
Hornell Internal Medicine & Nephrology, PC
- Nephrology Physician
- Hornell, NY
National Provider Identifier
1841385564
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nephrology Physician
- License
- 127174
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 127174 | NY | |
| Nephrology Physician | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00460031 | Medicaid | NY | |
| BT9 | Medicaid | NY |
National Provider Directory
National Provider DirectoryLocations
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.