Kidney and Hypertension Physician PC

Primary specialty

Nephrology PhysicianTaxonomy code 207RN0300X

License

241265 Issued in NY

Legal business name

KIDNEY AND HYPERTENSION PHYSICIAN PC

Practice address

670 Davison Rd
Lockport, NY 14094-5338

Phone

(716) 650-0373

NPI assigned

Aug 16, 2010

Organization subpart

No

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

Authorized official

Name

Prashant Pendyala, MDNPI 1801842844

Title

President

Phone

(716) 650-0373

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Locations

Practitioners 4

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

• Prashant Pendyala, MD

  • Nephrology Physician
  • Lockport, NY
  • NPI 1801842844
  Medicare reassignment Care Compare group Authorized official
• Rajitha Mallela, MBBS

  • Rheumatology Physician
  • Williamsville, NY
  • NPI 1194038661
  Medicare reassignment Care Compare group
• Laura Spyche, NP

  • Nurse Practitioner
  • Cheektowaga, NY
  • NPI 1760511034
  Medicare reassignment Care Compare group
• Janet Marie Wysocki Freer, AGPCNP

  • Adult Health Nurse Practitioner
  • Medina, NY
  • NPI 1063998607
  Medicare reassignment Care Compare group

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

{
    "created_epoch": "1281916800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1281916800000",
    "number": "1881909711",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "49 BRANTLEY CT",
            "city": "GETZVILLE",
            "state": "NY",
            "postal_code": "140681547"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "670 DAVISON RD",
            "city": "LOCKPORT",
            "state": "NY",
            "postal_code": "140945338",
            "telephone_number": "716-650-0373"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KIDNEY AND HYPERTENSION PHYSICIAN PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-08-16",
        "last_updated": "2010-08-16",
        "status": "A",
        "authorized_official_last_name": "PENDYALA",
        "authorized_official_first_name": "PRASHANT",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "716-650-0373",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Nephrology",
            "state": "NY",
            "license": "241265",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02212706",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ken Ton Chiropractic Spine and Injury, PC
• Valerie Ann Ketterer
• Keystone Hospitalist Services of New York, PC
• Alexandra Kiblin
• Maxine Kidder, P.N.P.
• Kim M. Bloomer, Rd, CDN
• Abigail Nichole Kinney
• Krystal Kinyon
• Erika Marie Kinzly, NP
• Geoffrey James Klaffka, D.C.

• Nephrology Physician in Lockport, NY
• Providers in Lockport, 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 Aug 16, 2010; 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.