Summit Nephrology Medical Group, Inc

Primary specialty

Nephrology PhysicianTaxonomy code 207RN0300X

License

A107520 Issued in CA

Legal business name

SUMMIT NEPHROLOGY MEDICAL GROUP, INC

Practice address

151 N Sunrise Ave
Ste. 1205
Roseville, CA 95661-2926

Phone

(916) 789-1505

Fax

(916) 789-1513

NPI assigned

Nov 15, 2006

Last updated

Apr 9, 2019By 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. Adarsh Bhat, M.D.NPI 1861443228

Title

C.O.O.

Phone

(916) 789-1505

Specialties & licenses 8

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

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

Locations

Practitioners 13

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.

• Adarsh Bhat, M.D.

  • Nephrology Physician
  • Roseville, CA
  • NPI 1861443228
  Medicare reassignment Care Compare group NPD Authorized official
• Leonard Joshua Alderette, FNP-C

  • Family Nurse Practitioner
  • Auburn, CA
  • NPI 1013789106

  Single Specialty

  Medicare reassignment Care Compare group NPD
• Ali Banisad, MD

  • Internal Medicine Physician
  • Roseville, CA
  • NPI 1174016968
  Medicare reassignment Care Compare group NPD
• Piper Julie Hughes, M.D.

  • Nephrology Physician
  • Roseville, CA
  • NPI 1750647285
  Medicare reassignment Care Compare group NPD
• Gregory Daniel Spin, D.O.

  • Nephrology Physician
  • Roseville, CA
  • NPI 1114977386
  Medicare reassignment Care Compare group NPD
• Brian Daniel Thornton

  • Nephrology Physician
  • Roseville, CA
  • NPI 1689625147
  Medicare reassignment Care Compare group NPD
• Jackson Wang, MD

  • Nephrology Physician
  • Grass Valley, CA
  • NPI 1003183617
  Medicare reassignment Care Compare group NPD
• Sourabh Kharait, M.D

  • Nephrology Physician
  • Tucson, AZ
  • NPI 1124265822

  CA

  Medicare reassignment Care Compare group NPD
• Lana Gafter, M.D.

  • Nephrology Physician
  • Roseville, CA
  • NPI 1376529552
  Medicare reassignment Care Compare group
• Cynthia Thompson, PA-C

  • Physician Assistant
  • Fresno, CA
  • NPI 1720601396
  Medicare reassignment Care Compare group
• Don N Chang, M.D.

  • Nephrology Physician
  • Roseville, CA
  • NPI 1619101805
  Medicare reassignment NPD
• Parthassarathy Chetlur Raguram, MD,MRCPI,FASN

  • Nephrology Physician
  • Roseville, CA
  • NPI 1629056460
  Medicare reassignment NPD

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

{
    "created_epoch": "1163548800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1554768000000",
    "number": "1962575449",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "151 N SUNRISE AVE",
            "address_2": "STE. 1205",
            "city": "ROSEVILLE",
            "state": "CA",
            "postal_code": "956612926",
            "telephone_number": "916-789-1505",
            "fax_number": "916-789-1513"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "151 N SUNRISE AVE",
            "address_2": "STE. 1205",
            "city": "ROSEVILLE",
            "state": "CA",
            "postal_code": "956612926",
            "telephone_number": "916-789-1505",
            "fax_number": "916-789-1513"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUMMIT NEPHROLOGY MEDICAL GROUP, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-15",
        "last_updated": "2019-04-09",
        "status": "A",
        "authorized_official_last_name": "BHAT",
        "authorized_official_first_name": "ADARSH",
        "authorized_official_title_or_position": "C.O.O.",
        "authorized_official_telephone_number": "916-789-1505",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Internal Medicine, Nephrology",
            "state": "CA",
            "license": "20A7602",
            "primary": false
        },
        {
            "code": "207RN0300X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Internal Medicine, Nephrology",
            "state": "CA",
            "license": "A72684",
            "primary": false
        },
        {
            "code": "207RN0300X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Internal Medicine, Nephrology",
            "state": "CA",
            "license": "A69494",
            "primary": false
        },
        {
            "code": "207RN0300X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Internal Medicine, Nephrology",
            "state": "CA",
            "license": "A92471",
            "primary": false
        },
        {
            "code": "207RN0300X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Internal Medicine, Nephrology",
            "state": "CA",
            "license": "A117327",
            "primary": false
        },
        {
            "code": "207RN0300X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Internal Medicine, Nephrology",
            "state": "CA",
            "license": "A92610",
            "primary": false
        },
        {
            "code": "207RN0300X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Internal Medicine, Nephrology",
            "state": "CA",
            "license": "A107133",
            "primary": false
        },
        {
            "code": "207RN0300X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Internal Medicine, Nephrology",
            "state": "CA",
            "license": "A107520",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Patrycya Sulsh, M.D.
• Heidi Christine Summers, M.A., MFT
• Megan Summers
• Summerville at Roseville Gardens, LLC (Emeritus at Roseville Gardens)
• Summit Healthcare Organization, LLC.
• Summit Rehabilitation Medical Associates Inc
• Gille Sumpo, NP
• Xavier Sumpter Jr.
• Yaning Sun
• Sruthi Sundaram, MD

• Nephrology Physician in Roseville, CA
• Providers in Roseville, CA by specialty
• Nephrology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2019; 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.