Danville Nephrology Consultants

Primary specialty

Nephrology PhysicianTaxonomy code 207RN0300X

License

KY30622 Issued in KY

Legal business name

DANVILLE NEPHROLOGY CONSULTANTS

Practice address

439 W Walnut St
Ste 201
Danville, KY 40422-1852

Phone

(859) 236-9203

Fax

(859) 236-6754

NPI assigned

Oct 25, 2007

Last updated

Oct 25, 2007By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Tariq Muhammad, MDNPI 1073561122

Title

Owner

Phone

(859) 236-9203

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in KY

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/IGEHCA

Practitioners 1

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.

• Tariq Muhammad, M.D.

  • Nephrology Physician
  • Louisville, KY
  • NPI 1073561122
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1193270400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1193270400000",
    "number": "1942489083",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 368",
            "city": "DANVILLE",
            "state": "KY",
            "postal_code": "404230368",
            "telephone_number": "859-236-9203",
            "fax_number": "859-236-6754"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "439 W WALNUT ST",
            "address_2": "STE 201",
            "city": "DANVILLE",
            "state": "KY",
            "postal_code": "404221852",
            "telephone_number": "859-236-9203",
            "fax_number": "859-236-6754"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DANVILLE NEPHROLOGY CONSULTANTS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-25",
        "last_updated": "2007-10-25",
        "status": "A",
        "authorized_official_last_name": "MUHAMMAD",
        "authorized_official_first_name": "TARIQ",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "859-236-9203",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Nephrology",
            "state": "KY",
            "license": "KY30622",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MCARE",
            "identifier": "CH6075",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "64306228",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BCBS",
            "identifier": "000000077435",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Nephrology Physician in Danville, KY
• Providers in Danville, KY by specialty
• Nephrology Physician in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2007; 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.