Portsmouth Nephrology PC

Primary specialty

Nephrology PhysicianTaxonomy code 207RN0300X

Legal business name

PORTSMOUTH NEPHROLOGY PC

Practice address

3235 Academy Ave
Suite 301
Portsmouth, VA 23703

Phone

(757) 484-9400

NPI assigned

Aug 16, 2006

Last updated

May 11, 2020By 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. Keith Zaitoun, MDNPI 1679567820

Title

President

Phone

(757) 484-9400

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in VA

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 4

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.

• Keith Zaitoun, MD

  • Nephrology Physician
  • Portsmouth, VA
  • NPI 1679567820
  Medicare reassignment Care Compare group NPD Authorized official
• Chinyere Virginia Osuchukwu, NP-C

  • Family Nurse Practitioner
  • Portsmouth, VA
  • NPI 1346773983
  Medicare reassignment Care Compare group NPD
• Krunal Manubhai Patel, MD

  • Nephrology Physician
  • Portsmouth, VA
  • NPI 1235393059
  Medicare reassignment Care Compare group NPD
• Amaresh Vanga, M.D.

  • Nephrology Physician
  • Portsmouth, VA
  • NPI 1265421275
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1155686400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1589155200000",
    "number": "1972616738",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3235 ACADEMY AVE",
            "address_2": "SUITE 301",
            "city": "PORTSMOUTH",
            "state": "VA",
            "postal_code": "23703",
            "telephone_number": "757-484-9400",
            "fax_number": "757-484-8809"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3235 ACADEMY AVE",
            "address_2": "SUITE 301",
            "city": "PORTSMOUTH",
            "state": "VA",
            "postal_code": "23703",
            "telephone_number": "757-484-9400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PORTSMOUTH NEPHROLOGY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-16",
        "last_updated": "2020-05-11",
        "certification_date": "2020-05-11",
        "status": "A",
        "authorized_official_last_name": "ZAITOUN",
        "authorized_official_first_name": "KEITH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "757-484-9400",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Nephrology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Portsmouth Anesthesia Associates, P.C.
• Portsmouth Community Health Center, Inc.
• Portsmouth Community Health Center, Inc. (Hampton Roads Community Pharmacy)
• Portsmouth Family Dental PLLC
• Portsmouth Naval Hospital
• Portsmouth Orthopaedic Associates, Inc.
• Portsmouth Pediatric Dentistry PLLC
• Portsmouth Pediatrics, PC
• Portsmouth Public Schools
• Portsmouth VA Opco LLC (Karolwood Gardens at Portsmouth)

• Nephrology Physician in Portsmouth, VA
• Providers in Portsmouth, VA by specialty
• Nephrology Physician in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2020; 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.