NIDAL AL-HOSAINAT MD NPI 1700362670

NPI Information

  • NPI: 1700362670
  • Provider Name: NIDAL AL-HOSAINAT, MD
  • Classification: Internal Medicine - 207RN0300X
  • Specialization: Nephrology
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 550 S LANDMARK AVE
    BLOOMINGTON, IN
    ZIP 47403
  • Phone: (812) 676-4660

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NPI Details

Nidal Al-hosainat, MD is a nephrology internal medicine in Bloomington, IN with 16 years of experience. 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. Nidal Al-hosainat, MD NPI is 1700362670. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

550 S LANDMARK AVE
BLOOMINGTON, IN
ZIP 47403-239
Phone: (812) 676-4660
Fax: (812) 676-4501

The NPI 1700362670 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 7/13/2018 and was last updated on 9/28/2023.

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
1207R00000XInternal Medicine01088556AINDIANANo
2207R00000XInternal Medicine000000NEW YORKNo
3207RN0300XInternal MedicineNephrologyBP10063896TEXASNo
4207RN0300XInternal MedicineNephrology01088556AINDIANAYes

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
1090540869OTHERINDIANAMEDICARE PTAN
2300075795MEDICAIDINDIANA

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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