ADVANCED KIDNEY CARE MD PA – NPI #1144333873
Internal Medicine

An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.

ADVANCED KIDNEY CARE MD PA is a provider located in JUPITER, FL. NPPES has assigned the NPI number 1144333873 to ADVANCED KIDNEY CARE MD PA on August 16, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 207RN0300X from the Health Care Provider Taxonomy code set, which is classified as Internal Medicine, specializing in Nephrology

The NPI profile was last updated on Nov 13, 2025. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for ADVANCED KIDNEY CARE MD PA below.

NPI Profile for
ADVANCED KIDNEY CARE MD PA

NPI Number
1144333873
Enumeration Date

(about 20 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
ADVANCED KIDNEY CARE MD PA
Primary location
4425 MILITARY TRAIL
SUITE 212
JUPITER, FL 33458
Phone: (561) 721-1112 Fax: (561) 296-3082
Mailing address
4425 MILITARY TRL STE 212
JUPITER, FL 33458-4817
Phone: (561) 721-1112 Fax: (561) 296-3082
Organization Subpart
No
Authorized Official
LILLIAN THOMPSON
OFFICE MANAGER
Phone: (561) 721-1112
Updated
Certification Date
Nov 13, 2025

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Identifiers

Identifiers for ADVANCED KIDNEY CARE MD PA

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
MEDICAIDFL253024400
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207RN0300X
- Internal Medicine / Nephrology (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.