INTERWELL HEALTH MEDICAL PRACTICE OF KANSAS LLC – NPI #1508687229
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.

Health Care Provider Taxonomy Code for Internal Medicine

INTERWELL HEALTH MEDICAL PRACTICE OF KANSAS LLC is a provider located in BOSTON, MA. NPPES has assigned the NPI number 1508687229 to INTERWELL HEALTH MEDICAL PRACTICE OF KANSAS LLC on October 24, 2024. 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 Jan 28, 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 INTERWELL HEALTH MEDICAL PRACTICE OF KANSAS LLC below.

NPI Profile for
INTERWELL HEALTH MEDICAL PRACTICE OF KANSAS LLC

NPI Number
1508687229
Enumeration Date

(more than a year 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
INTERWELL HEALTH MEDICAL PRACTICE OF KANSAS LLC
Primary location
68 HARRISON AVE STE 39516
BOSTON, MA 02111
Phone: (833) 664-8244 Fax:
Mailing address
68 HARRISON AVE STE 605 PMB 39516
BOSTON, MA 02111
Phone: (833) 664-8244 Fax:
Organization Subpart
No
Authorized Official
JULIE DOMINGUEZ
PRESIDENT
Phone: (833) 644-8244
Updated
Certification Date
Jan 28, 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.

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.