Organization Active NPI

Nephrology Specialists, PC.

  • Nephrology Physician
  • Munster, IN
National Provider Identifier
1881671865
Registry record updated Apr 13, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
Legal business name
NEPHROLOGY SPECIALISTS, PC.
Practice address
801 Macarthur Blvd
Ste 400a
Munster, IN 46321-2923
Phone
(219) 931-5227
Fax
(219) 932-8455
NPI assigned
Dec 29, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 13, 2017

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

Authorized official

Name
Raied Abdullah, MDNPI 1063417657
Title
Partner / Treasurer
Phone
(219) 931-5227

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 IN Primary

Addresses

Primary practice location

801 Macarthur Blvd
Ste 400a
Munster, IN 46321-2923

Mailing address

10010 Calumet Ave
Munster, IN 46321-4055
Phone (219) 924-3450

Other identifiers 1

IdentifierTypeStateIssuer
100212050MedicaidIN

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20041101000922 IN Part B Supplier - Clinic/Group Practice 2860454980 Receives reassigned benefits from 11 practitioners
Practice locations: La Porte, IN; Whiting, IN; Valparaiso, IN; Portage, IN; Munster, IN; Merrillville, IN; Chesterton, IN; Highland, IN…

National Provider Directory

National Provider Directory
Tax ID family
Nephrology Specialists2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Locations

711 Plaza Dr
Ste 6
Chesterton, IN 46304
Phone (219) 484-9587

4320 Fir St
Unit 404
East Chicago, IN 46312
Phone (219) 397-1199

3229 Broadway
Ste 160
Gary, IN 46409
Phone (219) 806-3011

5500 Hohman Ave
Ste C
Hammond, IN 46320

5500 Hohman Ave
Ste 1C
Hammond, IN 46320
Phone (219) 832-4006

1500 S Lake Park Ave
Ste 500
Hobart, IN 46342
Phone (219) 942-8132

901 Lincolnway
Ste 212
Laporte, IN 46350
Phone (219) 878-9531

9229 Taft St
Ste K
Merrillville, IN 46410

9229 Taft St
Merrillville, IN 46410
Phone (219) 769-5227

9836 W 400 N
#B
Michigan City, IN 46360
Phone (219) 878-9531

801 MacArthur Blvd
Ste 404A
Munster, IN 46321

801 MacArthur Blvd
Ste 400
Munster, IN 46321

800 MacArthur Blvd
Ste 202
Munster, IN 46321

5823 US Highway 6
#31
Portage, IN 46368

3630 Willowcreek Rd
Fl 2
Portage, IN 46368

5823 US Highway 6
#32
Portage, IN 46368

3630 Willowcreek Rd
#8
Portage, IN 46368
Phone (219) 531-7500

5823 US Highway 6
Ste B
Portage, IN 46368
Phone (219) 764-8020

10033 Wicker Ave
Ste 3
Saint John, IN 46373
Phone (219) 365-2200

Practitioners & affiliated clinicians

Practitioners 47

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.

View all 47

NPI Registry JSON

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

{
    "created_epoch": "1135814400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1492041600000",
    "number": "1881671865",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10010 CALUMET AVE",
            "city": "MUNSTER",
            "state": "IN",
            "postal_code": "463214055",
            "telephone_number": "219-924-3450",
            "fax_number": "219-924-1640"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 MACARTHUR BLVD",
            "address_2": "STE 400A",
            "city": "MUNSTER",
            "state": "IN",
            "postal_code": "463212923",
            "telephone_number": "219-931-5227",
            "fax_number": "219-932-8455"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEPHROLOGY SPECIALISTS, PC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-12-29",
        "last_updated": "2017-04-13",
        "status": "A",
        "authorized_official_last_name": "ABDULLAH",
        "authorized_official_first_name": "RAIED",
        "authorized_official_title_or_position": "PARTNER / TREASURER",
        "authorized_official_telephone_number": "219-931-5227",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Nephrology",
            "state": "IN",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100212050",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Munster, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2017; 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.