Carolina Kidney Specialists, LLC

Primary specialty

Nephrology PhysicianTaxonomy code 207RN0300X

License

17200 Issued in SC

Legal business name

CAROLINA KIDNEY SPECIALISTS, LLC

Practice address

1655 Bernardin Ave
Suite 200
Columbia, SC 29204-2039

Phone

(803) 256-1137

Fax

(803) 256-1138

NPI assigned

Oct 18, 2006

Last updated

Jan 2, 2008By 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

Muhammad Islam, M.D.NPI 1366531568

Title

President

Phone

(803) 256-1137

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in SC

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, and the practitioner matching its NPPES authorized official.

• Muhammad Muhammad Islam, MD

  • Nephrology Physician
  • Columbia, SC
  • NPI 1366531568
  Medicare reassignment Care Compare group NPD Authorized official
• Ashraf Ali Chattha, M.D.

  • Nephrology Physician
  • Columbia, SC
  • NPI 1073555983
  Medicare reassignment Care Compare group NPD
• Deewan Deewan, MD

  • Nephrology Physician
  • Columbia, SC
  • NPI 1811292055
  Medicare reassignment Care Compare group NPD
• Muhammad Amir Rafiq, MD

  • Nephrology Physician
  • Columbia, SC
  • NPI 1639337835
  Medicare reassignment Care Compare group NPD
• Abdul Basit Usmani, M.D.

  • Nephrology Physician
  • Columbia, SC
  • NPI 1629235700
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1161129600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1199232000000",
    "number": "1952482903",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 50183",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292500183",
            "telephone_number": "803-256-1137",
            "fax_number": "803-256-1138"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1655 BERNARDIN AVE",
            "address_2": "SUITE 200",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292042039",
            "telephone_number": "803-256-1137",
            "fax_number": "803-256-1138"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAROLINA KIDNEY SPECIALISTS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-18",
        "last_updated": "2008-01-02",
        "status": "A",
        "authorized_official_last_name": "ISLAM",
        "authorized_official_first_name": "MUHAMMAD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "803-256-1137",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "SC",
            "license": "17200",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RR",
            "identifier": "DF3940",
            "state": "SC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GP4529",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Carolina Healht & Wellness Center, LLC
• Carolina Health and Wellness
• Carolina Health Care, Inc.
• Carolina Healthchoice of Columbia, LLC
• Carolina Interventional Pain Institute, LLC
• Carolina Medical Staffing
• Carolina OB/GYN Group, LLC
• Carolina Occupational Healthcare
• Carolina Orthodontics and Pediatric Dentistry
• Carolina Orthopaedic and Sports Medicine, P.a.

• Nephrology Physician in Columbia, SC
• Providers in Columbia, SC by specialty
• Nephrology Physician in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 2008; 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.