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

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

Other identifiers 6

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.

• 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": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARK",
            "identifier": "099187",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UPMC",
            "identifier": "202550",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0009994970002",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0630213",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARK",
            "identifier": "824865",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GATEWAY",
            "identifier": "1502089",
            "state": "PA"
        }
    ],
    "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.