NEPHROLOGY PHYSICIANS LLC NPI 1518996719

NPI Information

  • NPI: 1518996719
  • Provider Name: NEPHROLOGY PHYSICIANS LLC
  • Classification: Internal Medicine - 207RN0300X
  • Specialization: Nephrology
  • Entity Type: Organization
  • CLIA Number: 15D1006975
  • Address: 710 PARK PLACE
    MISHAWAKA, IN
    ZIP 46545
  • Phone: (574) 273-6767

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NPI Details

NEPHROLOGY PHYSICIANS LLC is a nephrology internal medicine in Mishawaka, IN. The provider is 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. NEPHROLOGY PHYSICIANS LLC NPI is 1518996719. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

710 PARK PLACE
MISHAWAKA, IN
ZIP 46545-519
Phone: (574) 273-6767
Fax: (574) 968-7160

The provider's authorized official is James Porile .
The authorized official title is Authorized Official and has the following contact phone number (574) 273-6787.

The CLIA number assigned to this NPI record is 15D1006975 - physician office with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 7/1/2006 and was last updated on 3/10/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207RN0300XInternal MedicineNephrologyYes
22085R0204XRadiologyVascular & Interventional RadiologyNo

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1200241320AMEDICAIDINDIANA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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