NPIMap

Organization Active NPI

Kidney Associates, Inc.

  • Nephrology Physician
  • Mansfield, OH
National Provider Identifier
1851348304
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
Legal business name
KIDNEY ASSOCIATES, INC.
Practice address
661 S. Trimble Road
Mansfield, OH 44906-3437
Phone
(419) 774-0478
Fax
(419) 774-9887
NPI assigned
May 30, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mohan Kamadana, M.D,NPI 1316944960
Title
Doctor
Phone
(419) 774-0478

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
Nephrology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RN0300X Primary

Addresses

Primary practice location

661 S. Trimble Road
Mansfield, OH 44906-3437

Mailing address

661 S Trimble Rd
Mansfield, OH 44906-3437
Phone (419) 774-0478

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040513001396 OH Part B Supplier - Clinic/Group Practice 4385634179 Receives reassigned benefits from 20 practitioners
Practice locations: Marion, OH; Mount Gilead, OH; Mount Vernon, OH; Kenton, OH; Norwalk, OH; Ontario, OH; Upper Sandusky, OH; Willard, OH…

National Provider Directory

National Provider Directory

Locations

661 S Trimble Rd
#66
Mansfield, OH 44906

661 S Trimble Rd
Mansfield, OH 44906
Phone (419) 774-0478

647 Bally Row
Mansfield, OH 44906
Phone (419) 775-1730

1485 Coshocton Ave
Mount Vernon, OH 43050
Phone (740) 392-3436

Practitioners & affiliated clinicians

Practitioners 20

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 20

NPI Registry JSON

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

{
    "created_epoch": "1148947200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1851348304",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "661 S TRIMBLE RD",
            "city": "MANSFIELD",
            "state": "OH",
            "postal_code": "449063437",
            "telephone_number": "419-774-0478",
            "fax_number": "419-774-9887"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "661 S. TRIMBLE ROAD",
            "city": "MANSFIELD",
            "state": "OH",
            "postal_code": "449063437",
            "telephone_number": "419-774-0478",
            "fax_number": "419-774-9887"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KIDNEY ASSOCIATES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-30",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "KAMADANA",
        "authorized_official_first_name": "MOHAN",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "419-774-0478",
        "authorized_official_credential": "M.D,"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Nephrology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mansfield, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.