Kidney Institute at Emc LLC

Primary specialty

End-Stage Renal Disease (ESRD) Treatment Clinic/CenterTaxonomy code 261QE0700X

Legal business name

KIDNEY INSTITUTE AT EMC LLC

Practice address

39000 Bob Hope Dr
Ste. P-103
Rancho Mirage, CA 92270

Phone

(760) 837-9696

Fax

(760) 837-9984

NPI assigned

Oct 26, 2006

Organization subpart

No

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

Authorized official

Name

Jambur Eriah Chandrashekar, MDNPI 1013098557

Title

Administrator

Phone

(760) 837-9696

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Listed as

Kidney Institute at Eisenhower Medical CenterCCN 052832

Overall star rating

2.0 of 5

Ownership

Profit

Certified

Mar 25, 1998

Medicare certification status

ActiveFrom the Provider of Services file

Dialysis stations

20

Locations

Practitioners 1

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

• Jambur Eriah Chandrashekar, M.D.

  • Internal Medicine Physician
  • Indio, CA
  • NPI 1013098557
  NPD (past) Authorized official

Affiliated clinicians 1

Clinicians who list this facility as an affiliation in Medicare Care Compare.

• Narendra Shashibushan Chandrashekar, M.D.

  • Nephrology Physician
  • Indio, CA
  • NPI 1598715476

  Dialysis facility

  Care Compare affiliation Name & address match

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

{
    "created_epoch": "1161820800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1493164800000",
    "number": "1922183045",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "39000 BOB HOPE DR",
            "address_2": "STE. P-103",
            "city": "RANCHO MIRAGE",
            "state": "CA",
            "postal_code": "92270",
            "telephone_number": "760-837-9696",
            "fax_number": "760-837-9984"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "39000 BOB HOPE DR",
            "address_2": "STE. P-103",
            "city": "RANCHO MIRAGE",
            "state": "CA",
            "postal_code": "92270",
            "telephone_number": "760-837-9696",
            "fax_number": "760-837-9984"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KIDNEY INSTITUTE AT EMC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-26",
        "last_updated": "2017-04-26",
        "status": "A",
        "authorized_official_last_name": "CHANDRASHEKAR",
        "authorized_official_first_name": "JAMBUR",
        "authorized_official_middle_name": "ERIAH",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "760-837-9696",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QE0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, End-Stage Renal Disease (ESRD) Treatment",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "CDC02832F",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ellie Kheirkhahi-Love
• Hamidreza Khessali, M.D.
• Arya Darren Khoshniyati, MD
• Farshad Khosraviani
• Loren Khoury, D.O.
• Karalyn Kiest, FNP
• CHI Kim Kieu, MD
• Jeffrey Kile, MD
• Chris Kim, D.O
• Chun K Kim, DDS

• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Rancho Mirage, CA
• Providers in Rancho Mirage, CA by specialty
• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.