The Kidney Group, Inc

Primary specialty

Nephrology PhysicianTaxonomy code 207RN0300X

Legal business name

THE KIDNEY GROUP, INC

Practice address

1340 Belmont Ave
Suite 2300
Youngstown, OH 44504-1125

Phone

(330) 746-1488

Fax

(330) 746-0384

NPI assigned

Jan 31, 2007

Last updated

Sep 18, 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

Nathaniel S Doe, MDNPI 1275504094

Title

President

Phone

(330) 746-1488

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in OH, PA2 enrollments

Enrollment records 2

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

CLIA laboratory certificates

Member organizations 1

Organizations listed as members of this organization in the National Provider Directory.

• Center for Vascular Access LLC

  • Nephrology Physician
  • Boardman, OH
  • NPI 1720287923

  Member Of

  NPD member

Locations

Practitioners 24

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.

• Nathaniel S Doe, M.D.

  • Nephrology Physician
  • Youngstown, OH
  • NPI 1275504094

  PA

  Medicare reassignment Care Compare group NPD Authorized official
• Lani Anderson, NP

  • Family Nurse Practitioner
  • Youngstown, OH
  • NPI 1124853577

  Multi-Specialty

  Medicare reassignment Care Compare group NPD
• Anup S Bains, M.D.

  • Nephrology Physician
  • Youngstown, OH
  • NPI 1780655589
  Medicare reassignment Care Compare group NPD
• Lauren Carano, NP-C

  • Family Nurse Practitioner
  • Youngstown, OH
  • NPI 1710675392
  Medicare reassignment Care Compare group NPD
• Nimit Dalal

  • Nephrology Physician
  • Youngstown, OH
  • NPI 1487279857
  Medicare reassignment Care Compare group NPD
• Sara Jalal Esmail, MSN,APRN-CNP,FNP-BC

  • Family Nurse Practitioner
  • Youngstown, OH
  • NPI 1245907468
  Medicare reassignment Care Compare group NPD
• Lisa G King, APRN-CNS

  • Adult Health Clinical Nurse Specialist
  • Youngstown, OH
  • NPI 1750678314
  Medicare reassignment Care Compare group NPD
• Michael Carl Koprucki, MD

  • Nephrology Physician
  • Youngstown, OH
  • NPI 1902069115

  PA

  Medicare reassignment Care Compare group NPD
• Mario Leone, MD

  • Nephrology Physician
  • Youngstown, OH
  • NPI 1578060927

  PA

  Medicare reassignment Care Compare group NPD
• Kathleen S Padgitt, M.D.

  • Nephrology Physician
  • Youngstown, OH
  • NPI 1093786774

  PA

  Medicare reassignment Care Compare group NPD
• Hasit P Pandya, MD

  • Nephrology Physician
  • Youngstown, OH
  • NPI 1912954389

  PA

  Medicare reassignment Care Compare group NPD
• Nichole Marie Pore

  • Family Nurse Practitioner
  • Youngstown, OH
  • NPI 1568745123

  PA

  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1170201600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1600387200000",
    "number": "1982741971",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1340 BELMONT AVE",
            "address_2": "SUITE 2300",
            "city": "YOUNGSTOWN",
            "state": "OH",
            "postal_code": "445041125",
            "telephone_number": "330-746-1488",
            "fax_number": "330-746-0384"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1340 BELMONT AVE",
            "address_2": "SUITE 2300",
            "city": "YOUNGSTOWN",
            "state": "OH",
            "postal_code": "445041125",
            "telephone_number": "330-746-1488",
            "fax_number": "330-746-0384"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE KIDNEY GROUP, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-31",
        "last_updated": "2020-09-18",
        "certification_date": "2020-09-18",
        "status": "A",
        "authorized_official_last_name": "DOE",
        "authorized_official_first_name": "NATHANIEL",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "330-746-1488",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "OH",
            "license": "952644",
            "primary": false
        },
        {
            "code": "207RN0300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Nephrology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Nephrology Physician in Youngstown, OH
• Providers in Youngstown, OH by specialty
• Nephrology Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 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.