KANSAS CITY KIDNEY SPECIALIST – NPI #1174016729
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.

KANSAS CITY KIDNEY SPECIALIST is a provider located in OVERLAND PARK, KS. NPPES has assigned the NPI number 1174016729 to KANSAS CITY KIDNEY SPECIALIST on June 08, 2018. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “KANSAS CITY KIDNEY SPECIALIST” is a dba name, the actual legal business name for this organization is KANSAS CITY KIDNEY SPECIALISTS. 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 previously updated about 8 years ago on Aug 22, 2018. 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 KANSAS CITY KIDNEY SPECIALIST below.

NPI Profile for
KANSAS CITY KIDNEY SPECIALISTS

NPI Number
1174016729
Enumeration Date

(about 8 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
KANSAS CITY KIDNEY SPECIALISTS
Doing Business As (dba): KANSAS CITY KIDNEY SPECIALIST
Primary location
11661 COLLEGE BLVD
OVERLAND PARK, KS 66210
Phone: (913) 495-5517 Fax: (913) 495-5518
Mailing address
12705 W 161ST ST STE 210
OVERLAND PARK, KS 66221-8641
Phone: (913) 495-5517 Fax: (913) 495-5518
Organization Subpart
No
Authorized Official
TAREK DARWISH
PHYSICIAN
Phone: (913) 495-5517
Updated
Identifiers

Identifiers for KANSAS CITY KIDNEY SPECIALIST

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
OTHERINDIVIDUAL NPI1790712750
OTHERNEPHROLOGYKS04-37625
OTHERSTATE MEDICAL LICENSEKS0437625
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)
KS 04-37625

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.