Renal Medical Care, PC

Primary specialty

Nephrology PhysicianTaxonomy code 207RN0300X

Legal business name

RENAL MEDICAL CARE, PC

Practice address

830 Oak St
Suite 125E
Brockton, MA 02301-1168

Phone

(508) 588-1505

Fax

(508) 588-1508

NPI assigned

Feb 9, 2007

Organization subpart

No

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

Authorized official

Name

Shreekant Chopra, M.D.NPI 1740288943

Title

Partner

Phone

(508) 588-1505

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in MA

Enrollment records 1

Locations

Practitioners 5

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

• Shreekant Chopra, M.D.

  • Nephrology Physician
  • Brockton, MA
  • NPI 1740288943
  Medicare reassignment Care Compare group NPD Authorized official
• Sarika Chopra, D.O.

  • Nephrology Physician
  • Brockton, MA
  • NPI 1518288315
  Medicare reassignment Care Compare group NPD
• Venkata S Golla, M.D

  • Nephrology Physician
  • Brockton, MA
  • NPI 1821250325
  Medicare reassignment Care Compare group NPD
• Matthew Daley Sullivan, PA

  • Physician Assistant
  • Brockton, MA
  • NPI 1700884913
  Medicare reassignment Care Compare group
• Sidhartha Pani, M.D.

  • Internal Medicine Physician
  • Charlottesville, VA
  • NPI 1619924370
  NPD (past)

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

{
    "created_epoch": "1170979200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1297641600000",
    "number": "1912048414",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 129",
            "city": "DANVERS",
            "state": "MA",
            "postal_code": "01923",
            "telephone_number": "508-588-1505",
            "fax_number": "508-588-1508"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "830 OAK ST",
            "address_2": "SUITE 125E",
            "city": "BROCKTON",
            "state": "MA",
            "postal_code": "023011168",
            "telephone_number": "508-588-1505",
            "fax_number": "508-588-1508"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RENAL MEDICAL CARE, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-09",
        "last_updated": "2011-02-14",
        "status": "A",
        "authorized_official_last_name": "CHOPRA",
        "authorized_official_first_name": "SHREEKANT",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "508-588-1505",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Nephrology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9753052",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "C12115",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Reliacare Plus Inc
• Alison Rembisz
• Remedy Home Healthcare LLC
• Remedy Home Healthcare LLC
• Mirdith Remy-Valeus
• Daina Rene
• Moise Rene
• Neila Berthe Rene
• Scheinda Rene, LCSW
• Oluyinka Olowolafe Reno, MD

• Nephrology Physician in Brockton, MA
• Providers in Brockton, MA by specialty
• Nephrology Physician in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2011; 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.