Nephrology Associates of Watertown PC

Primary specialty

Nephrology PhysicianTaxonomy code 207RN0300X

Legal business name

NEPHROLOGY ASSOCIATES OF WATERTOWN PC

Practice address

19316 US Route 11
Ste B
Watertown, NY 13601-6735

Phone

(315) 782-0136

Fax

(315) 782-7212

NPI assigned

Jun 6, 2006

Last updated

Apr 7, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Khalid P Sindhu, MDNPI 1255371712

Title

Owner

Phone

(315) 782-0136

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Member organizations 1

Organizations listed as members of this organization in the National Provider Directory.

• Timothy W. Moon,DO, PLLC

  • Family Medicine Physician
  • Gouverneur, NY
  • NPI 1194945410

  Member Of

  NPD member

Locations

Practitioners 7

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.

• Khalid P Sindhu, MD

  • Nephrology Physician
  • Watertown, NY
  • NPI 1255371712
  Medicare reassignment Care Compare group NPD Authorized official
• Erin L. Birchenough, NP

  • Family Nurse Practitioner
  • Watertown, NY
  • NPI 1922394725
  Medicare reassignment Care Compare group NPD
• Sameera Sultana Quraishi, MD

  • Nephrology Physician
  • Watertown, NY
  • NPI 1881246387
  Medicare reassignment Care Compare group NPD
• Adam M Rubin, M.D.

  • Nephrology Physician
  • Wyomissing, PA
  • NPI 1881634020

  NY

  Medicare reassignment Care Compare group NPD
• Aruna Ray

  • Nephrology Physician
  • Watertown, NY
  • NPI 1336418953
  Medicare reassignment NPD
• Richard A Matarese, MD

  • Nephrology Physician
  • Watertown, NY
  • NPI 1568402881
  NPD
• Stephen L Blonsky, MD

  • Nephrology Physician
  • Muskego, WI
  • NPI 1497855126
  NPD (past)

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

{
    "created_epoch": "1149552000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1743984000000",
    "number": "1861432304",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19316 US ROUTE 11 STE B",
            "city": "WATERTOWN",
            "state": "NY",
            "postal_code": "136016736",
            "telephone_number": "315-782-0136",
            "fax_number": "315-782-7212"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19316 US ROUTE 11",
            "address_2": "STE B",
            "city": "WATERTOWN",
            "state": "NY",
            "postal_code": "136016735",
            "telephone_number": "315-782-0136",
            "fax_number": "315-782-7212"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEPHROLOGY ASSOCIATES OF WATERTOWN PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-06",
        "last_updated": "2025-04-07",
        "certification_date": "2025-04-07",
        "status": "A",
        "authorized_official_last_name": "SINDHU",
        "authorized_official_first_name": "KHALID",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "315-782-0136",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01197144",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Daniel Francis Nattell, MD
• Gabrielle Navarra, LMHC
• Mary E Navarra, MNT
• Joyce Reginah W Ndungu, NP
• Patrick R Neal, LMT
• Jamie L Neshkoff, RDH
• Theresa Netto, LMHC
• Karen C Nevills, NP
• Shannon Marie Nevin, LMT
• New Century Podiatry, PC

• Nephrology Physician in Watertown, NY
• Providers in Watertown, NY by specialty
• Nephrology Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2025; 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.