MR. MAHENDRA C MARU M.D. NPI 1891792818

NPI Information

  • NPI: 1891792818
  • Provider Name: MR. MAHENDRA C MARU, M.D.
  • Classification: Internal Medicine - 207RN0300X
  • Specialization: Nephrology
  • Entity Type: Individual
  • PECOS Registration: Yes
  • CLIA Number: 18D0881567
  • Address: 1930 E PARRISH AVE
    OWENSBORO, KY
    ZIP 42303
  • Phone: (270) 689-1919

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NPI Details

MR. Mahendra C Maru, M.D. is a nephrology internal medicine in Owensboro, KY. 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. MR. Mahendra C Maru, M.D. NPI is 1891792818. 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:

1930 E PARRISH AVE
OWENSBORO, KY
ZIP 42303-443
Phone: (270) 689-1919
Fax: (270) 689-1990

The NPI 1891792818 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 CLIA number assigned to this NPI record is 18D0881567 - physician office with a certificate type of Certificate of Waiver.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Follow-up hospital inpatient care per day, typically 25 minutes (HCPCS:99232)
  • Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
  • Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)
  • Dialysis services, 4 or more physician visits per month (20 years or older) (HCPCS:90960)
  • Hemodialysis procedure with physician evaluation (HCPCS:90935)
  • Follow-up hospital inpatient care per day, typically 35 minutes (HCPCS:99233)
  • Initial hospital inpatient care per day, typically 50 minutes (HCPCS:99222)
  • Initial hospital inpatient care per day, typically 70 minutes (HCPCS:99223)
  • Home dialysis services per month (20 years or older) (HCPCS:90966)
  • Follow-up nursing facility visit per day, typically 25 minutes (HCPCS:99309)
  • Dialysis services, 2-3 physician visits per month (20 years or older) (HCPCS:90961)

The enumeration date for this NPI number is 7/5/2005 and was last updated on 6/23/2015.

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 Medicine33042KENTUCKYNo
2207RN0300XInternal MedicineNephrology33042KENTUCKYYes

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
1CJ7612OTHERKENTUCKYRAILROAD MEDICARE
2CJ7612OTHERINDIANARAILROAD MEDICARE
3189210MEDICARE PININDIANA
40635002MEDICARE PINKENTUCKY
5200145790MEDICAIDINDIANA
664330426MEDICAIDKENTUCKY
7000000067006OTHERKENTUCKYANTHEM
8249200BMEDICARE PININDIANA
9000000067006OTHERINDIANAANTHEM PIN
10H12883MEDICARE UPINKENTUCKY

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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