SOUTH SHORE NEPHROLOGY, P.C.
NPI 1073578779
Internal Medicine - Nephrology in Plymouth, MA
About South Shore Nephrology, P.c. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SOUTH SHORE NEPHROLOGY, P.C. (NPI 1073578779) is a healthcare organization registered as a nephrology in Plymouth, Massachusetts and active in the NPI registry since April 2006. The organization holds a CLIA Waiver certificate valid through October 3, 2028, maintains 2 additional practice locations, and lists Piotr Lazowski, Doctor, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Locations 2
Group Practice 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
South Shore Nephrology, P.c. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
5Medicare enrollment records show 5 clinicians reassign Medicare billing to South Shore Nephrology, P.C., which bills Medicare for the services they deliver. Of these, 5 practice at this address. They are listed nearest first.
Clinicians, nearest first (5)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
CLIA Laboratory Certificates CMS CLIA
Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.
Certificate of Waiver 22D1004752
South Shore Nephrology PC · Plymouth, MAFrequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is South Shore Nephrology, P.C.'s NPI number?
The NPI number for South Shore Nephrology, P.C. is 1073578779. It was assigned to this organization in the NPPES registry on April 18, 2006.
Where is South Shore Nephrology, P.C. located?
South Shore Nephrology, P.C. is located at 47 Obery St Ste 1A, Plymouth, MA 02360. The listed phone number is (508) 747-4883.
What is South Shore Nephrology, P.C.'s specialty?
The primary specialty registered for this NPI is Internal Medicine, specializing in Nephrology, with taxonomy code 207RN0300X.
Is South Shore Nephrology, P.C. enrolled in Medicare?
Yes. South Shore Nephrology, P.C. is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through South Shore Nephrology, P.C.?
According to the CMS Revalidation Reassignment List (October 2026 release), 5 clinicians in 2 Medicare specialties reassign their Medicare billing to South Shore Nephrology, P.C.. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Nephrology (4) and Nurse Practitioner (1). Of these, 5 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does South Shore Nephrology, P.C. hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 22D1004752) is associated with this NPI, valid through October 3, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
What insurance does South Shore Nephrology, P.C. accept?
Health plans from Anthem Blue Cross and Blue Shield list South Shore Nephrology, P.C. as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for South Shore Nephrology, P.C. was last updated on May 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# South Shore Nephrology, P.c. · NPI 1073578779
Nephrology organization in Plymouth, Massachusetts. Organization record, active in the CMS NPPES registry since April 18, 2006.
## Identity
- **NPI:** 1073578779 (Entity type: Organization)
- **Enumerated:** April 18, 2006
- **Primary specialty:** Internal Medicine - Nephrology · taxonomy 207RN0300X
- **Organization subpart:** No
- **Authorized official:** Piotr Lazowski, DOCTOR
## Practice location
- **Address:** 47 OBERY ST STE 1A, Plymouth, MA 02360-2230
- **Phone:** (508) 747-4883 · **Fax:** (508) 747-6661
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 5 clinicians in 2 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nephrology (4), Nurse Practitioner (1); 5 practice at this address · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** May 13, 2026
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1073578779) · Data from the CMS NPPES public registry.