Organization Active NPI

Kidney Health Specialists LLC

  • Nephrology Physician
  • Hollywood, FL
National Provider Identifier
1881153674
Registry record updated Feb 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
Legal business name
KIDNEY HEALTH SPECIALISTS LLC
Practice address
7261 Sheridan St Ste 360
Hollywood, FL 33024-2726
Phone
(954) 226-0121
Fax
(866) 981-2156
NPI assigned
Mar 19, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 8, 2024

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

Authorized official

Name
Emilian Cristea, MDNPI 1316351042
Title
Owner
Phone
(954) 999-8489

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

7261 Sheridan St Ste 360
Hollywood, FL 33024-2726

Mailing address

5411 NW 87TH Ave
Lauderhill, FL 33351-4852
Phone (954) 999-8489

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address kidney@cristeamd.com

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210121000204 FL Part B Supplier - Clinic/Group Practice 3476967126 Receives reassigned benefits from 2 practitioners
Practice locations: Hollywood, FL

National Provider Directory

National Provider Directory

Locations

7369 Sheridan St
Hollywood, FL 33024
Phone (954) 276-1925

7261 Sheridan St
Ste 360
Hollywood, FL 33024
Phone (954) 226-0121

Networks

  • HealthSun Health Plans Network

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/EAJCCD

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1552953600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1707350400000",
    "number": "1881153674",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5411 NW 87TH AVE",
            "city": "LAUDERHILL",
            "state": "FL",
            "postal_code": "333514852",
            "telephone_number": "954-999-8489"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7261 SHERIDAN ST STE 360",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330242726",
            "telephone_number": "954-226-0121",
            "fax_number": "866-981-2156"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KIDNEY HEALTH SPECIALISTS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-03-19",
        "last_updated": "2024-02-08",
        "certification_date": "2024-02-06",
        "status": "A",
        "authorized_official_last_name": "CRISTEA",
        "authorized_official_first_name": "EMILIAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "954-999-8489",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Nephrology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kidney@cristeamd.com",
            "affiliation": "N",
            "address_1": "7261 Sheridan St Ste 360",
            "city": "Hollywood",
            "state": "FL",
            "country_code": "US",
            "postal_code": "330242726",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Hollywood, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2024; 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.