THE KIDNEY CLINIC – NPI #1639487564
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

THE KIDNEY CLINIC is a provider located in BENTONVILLE, AR. NPPES has assigned the NPI number 1639487564 to THE KIDNEY CLINIC on September 14, 2010. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “THE KIDNEY CLINIC” is a dba name, the actual legal business name for this organization is SHAMSUL ALAM MD PA. 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 10 years ago on Mar 02, 2016. 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 THE KIDNEY CLINIC below.

NPI Profile for
SHAMSUL ALAM MD PA

NPI Number
1639487564
Enumeration Date

(about 16 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
SHAMSUL ALAM MD PA
Doing Business As (dba): THE KIDNEY CLINIC
Primary location
2618 SE J ST
SUITE#4
BENTONVILLE, AR 72712-3767
Phone: (479) 271-9393 Fax: (479) 271-9393
Mailing address
PO BOX 1037
BENTONVILLE, AR 72712-1037
Phone: (479) 271-9393 Fax: (479) 271-0141
Organization Subpart
No
Authorized Official
SHAMSUL ALAM
PRESIDENT
Phone: (479) 271-9393
Updated
Identifiers

Identifiers for THE KIDNEY CLINIC

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
OTHERMEDICARE GROUP PTAN5G686
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)		 AR E4954

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.