Adult Hypertension and Kidney Specialists LLC
Organization Active NPI Nephrology Physician · Springfield, OH
NPI 1922477835 · NPPES record last updated Feb 26, 2016
Key facts
- NPI
- 1922477835
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Nephrology Physician 207RN0300X
- Legal business name
- ADULT HYPERTENSION AND KIDNEY SPECIALISTS LLC
- Practice address
- 2200 N Limestone Street Suite 114
Springfield, OH 45503-1171 - Phone
- (937) 322-7364
- NPI assigned
- Sep 21, 2015
- Organization subpart
- No
Authorized official
- Name
- Pius Kurian, M.D.
- Title
- Physician/ Owner
- Phone
- (937) 244-3783
Practitioners 5
-
Adeleye A. Edon, DO
-
Angela Wen Gates, APRN-CNP
-
Pius Kurian, MD
-
Rachel Dianne Peyton, CNP
-
Robert M Kabbes, OD
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in OH
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20160105000286 | OH | Part B Supplier - Clinic/Group Practice | 8022310374 |
Receives reassigned benefits from 3 practitioners Practice locations: Fairborn, OH; Springfield, OH; Urbana, OH |
National Provider Directory
Locations
2315 Derr Rd
Springfield, OH 45503
Phone (937) 322-7364
900 Scioto St
Ste 11
Urbana, OH 43078
Phone (937) 322-7364
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nephrology Physician |
207RN0300X | Yes |
Addresses
Primary practice location
2200 N Limestone Street Suite 114
Springfield, OH 45503-1171
Mailing address
2200 N Limestone St Ste 114
Springfield, OH 45503-2692
Phone (937) 244-3783
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 35065911 | Other | OH | OHIO LICENSE NUMBER |
| 0146549 | Medicaid | OH |
Other providers in Springfield, OH
- Ann Lynn Adkins
- Elethea K Adkins
- Esther Adkins
- Heather Adkins
- Louanne Adkins
- Advanced Medical Equipment, LLC
- Advanced Nephrology & Hypertension
- Advanced Spine & Pain Management Inc
- Aeg Ohio Professional PC
- Aeg Ohio Professional PC
All providers in Springfield, OH · Nephrology Physician in Ohio
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 26, 2016. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.