Kidney Specialists of the Palm Beaches LLC

Primary specialty

Legal MedicineTaxonomy code 173000000X

License

ME83538 Issued in FL

Legal business name

KIDNEY SPECIALISTS OF THE PALM BEACHES LLC

Practice address

11301 Okeechobee Blvd
Suite 5a
Royal Palm Beach, FL 33411

Phone

(561) 283-0384

Fax

(561) 282-3238

NPI assigned

Aug 22, 2006

Last updated

Mar 2, 2015By 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

Mohan Isaac Abraham, MDNPI 1740266592

Title

Manager

Phone

(561) 868-4846

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Tax ID family

Kidney Specialists of the Palm Beaches LLC4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

• Kidney Specialist of Palm Beaches

  • Nephrology Physician
  • Royal Palm Beach, FL
  • NPI 1417269143
  NPD tax ID
• Kidney Specialist of Palm Beaches, LLC

  • Nephrology Physician
  • Boynton Beach, FL
  • NPI 1134524739
  NPD tax ID
• Kidney Specialists of the Palm Beaches

  • Nephrology Physician
  • Royal Palm Beach, FL
  • NPI 1891003729
  NPD tax ID

Locations

Networks

• HealthSun Health Plans Network

Practitioners 6

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.

• Mohan Abraham, MD

  • Nephrology Physician
  • Royal Palm Beach, FL
  • NPI 1740266592
  Medicare reassignment Care Compare group NPD Authorized official
• Syed Abbas Ali, MD

  • Nephrology Physician
  • Atlantis, FL
  • NPI 1679544704
  Medicare reassignment Care Compare group NPD
• Arun K Amatya, M.D.

  • Nephrology Physician
  • Royal Palm Beach, FL
  • NPI 1629162508
  Medicare reassignment Care Compare group NPD
• Sunila Pandit, M.D.

  • Nephrology Physician
  • Royal Palm Beach, FL
  • NPI 1063498947
  Medicare reassignment Care Compare group NPD
• Manoj Bhattarai, MD

  • Nephrology Physician
  • Royal Palm Beach, FL
  • NPI 1881905925
  Medicare reassignment Care Compare group
• Jacques Philippe Daniel, DPM

  • Foot & Ankle Surgery Podiatrist
  • Clewiston, FL
  • NPI 1326253816
  NPD (past)

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

{
    "created_epoch": "1156204800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1425254400000",
    "number": "1871609578",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11301 OKEECHOBEE BLVD",
            "address_2": "SUITE 5A",
            "city": "ROYAL PALM BEACH",
            "state": "FL",
            "postal_code": "33411",
            "telephone_number": "561-283-0384",
            "fax_number": "561-282-3238"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11301 OKEECHOBEE BLVD",
            "address_2": "SUITE 5A",
            "city": "ROYAL PALM BEACH",
            "state": "FL",
            "postal_code": "33411",
            "telephone_number": "561-283-0384",
            "fax_number": "561-282-3238"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KIDNEY SPECIALISTS OF THE PALM BEACHES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-22",
        "last_updated": "2015-03-02",
        "status": "A",
        "authorized_official_last_name": "ABRAHAM",
        "authorized_official_first_name": "MOHAN",
        "authorized_official_middle_name": "ISAAC",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "561-868-4846",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "173000000X",
            "taxonomy_group": "",
            "desc": "Legal Medicine",
            "state": "FL",
            "license": "ME83538",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "271936300",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "94755",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ariba Khan, BCBA
• Raazia Khan, APRN
• Rachita Khurana, P.T.
• Kidney Specialist of Palm Beaches
• Kidney Specialists of the Palm Beaches
• King Notary Services (Joseph Arimathea Funeral Cremation Services)
• Frankie Lynn Kirk, D.P.M
• Jay Barry Knoller, D.M.D.
• Hilary Kevin Koech, MD
• Erica Lynn Koester, PT, DPT, LMT

• Legal Medicine in Royal Palm Beach, FL
• Providers in Royal Palm Beach, FL by specialty
• Legal Medicine in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2015; 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.