NPIMap

Individual provider Active NPI

Muhammad Kamran, MD

  • Nephrology Physician
  • Carbondale, IL
National Provider Identifier
1992763312
Registry record updated Feb 17, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
36-092577 Issued in IL
Practice address
1350 Cedar CT
Carbondale, IL 62901-5336
Phone
(618) 529-2955
Fax
(618) 457-7823
NPI assigned
May 3, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 17, 2009

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X 36-092577 IL Primary

Addresses

Primary practice location

1350 Cedar CT
Carbondale, IL 62901-5336

Mailing address

1350 Cedar CT
Carbondale, IL 62901-5336
Phone (618) 529-2955

Other identifiers 1

IdentifierTypeStateIssuer
36-092577MedicaidIL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040726000573 IL Practitioner - NephrologyPractitioner - Internal Medicine 3870405780 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
NephrologyAlso: Internal Medicine
Education
Other, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Kidney Disease and Medicine Specialty Consultants LLCGroup PAC ID 1052391521, 6 clinicians

Practice addresses (Care Compare)

1350 Cedar CT
Carbondale, IL 62901-5336
Phone (618) 529-2955

Hospital & facility affiliations

  • FMC - Carbondale Dialysis facility, Carbondale, IL, CCN 142514
  • FMC - Williamson County Dialysis facility, Marion, IL, CCN 142627
  • FMC - West Frankfort Home Therapies Dialysis facility, West Frankfort, IL, CCN 142780
  • DaVita Benton Dialysis Dialysis facility, Benton, IL, CCN 142608
  • FMC - Duquoin Dialysis facility, Du Quoin, IL, CCN 142595
  • Herrin Hospital Hospital, Herrin, IL, CCN 140011
  • St Joseph Memorial Hospital Hospital, Murphysboro, IL, CCN 141334
  • Memorial Hospital of Carbondale Hospital, Carbondale, IL, CCN 140164
  • Marshall Browning Hospital Hospital, Du Quoin, IL, CCN 141331
  • Harrisburg Medical Center Hospital, Harrisburg, IL, CCN 140210

Merit-based Incentive Payment System (MIPS)

Final score
75.38 of 100Reported as group
Quality
31.67
Improvement activities
40
Cost
75.71

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal or shaving of skin growth1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
36-092577ILMDNephrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Fresenius Medical Care West Frankfort Home, LLC PastSince May 14, 2003 Accepting new patients
Fresenius Medical Care Koke Mill, LLC Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: mkamran@yourcarecommunity.org
  • Direct secure messaging: mkamran13534@sih.direct-ci.com

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 10

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1146614400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1234828800000",
    "number": "1992763312",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1350 CEDAR CT",
            "city": "CARBONDALE",
            "state": "IL",
            "postal_code": "629015336",
            "telephone_number": "618-529-2955",
            "fax_number": "618-457-7823"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1350 CEDAR CT",
            "city": "CARBONDALE",
            "state": "IL",
            "postal_code": "629015336",
            "telephone_number": "618-529-2955",
            "fax_number": "618-457-7823"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAMRAN",
        "first_name": "MUHAMMAD",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-03",
        "last_updated": "2009-02-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "IL",
            "license": "36-092577",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "36-092577",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Carbondale, IL

Sources for this page

Verify at the official NPI Registry.