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KIDNEY AND HYPERTENSION CARE MID-AMERICA LLC
NPI 1114783859
Internal Medicine - Nephrology in Jerseyville, IL

Active since February 21, 2024
400 MAPLE SUMMIT RD, JERSEYVILLE, IL 62052(314) 628-7750 Get Directions Write a Review

NPPES record last updated: October 21, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Kidney And Hypertension Care Mid-america Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KIDNEY AND HYPERTENSION CARE MID-AMERICA LLC (NPI 1114783859) is a healthcare organization registered as a nephrology in Jerseyville, Illinois and active in the NPI registry since February 2024. The organization lists Meher S Mallick, Owner, as its authorized official.

NPPES Registry Identity

NPI1114783859
Entity TypeOrganization
Primary Taxonomy207RN0300X
Legal Business NameKIDNEY AND HYPERTENSION CARE MID-AMERICA LLC
Location Address400 MAPLE SUMMIT RDJerseyville, IL 62052-2028
Mailing AddressPo Box 289Chesterfield, MO 63006-0289 · (314) 628-7750
Phone(314) 628-7750
Organization SubpartNo
Authorized OfficialMeher S MallickOwner · (314) 628-7750
Enumeration DateFebruary 21, 2024
Last NPPES UpdateOctober 21, 2025
NPPES CertifiedOctober 21, 2025
✔ NPI 1114783859 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · NephrologyAllopathic & Osteopathic Physicians
Taxonomy Code207RN0300X
Definition
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.
400 MAPLE SUMMIT RD, Jerseyville, IL 62052
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Other Identifiers 1

Medicaid03609903IL

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. ROBERT NORMAN LEE CORPREW JR. M,D,
Family Medicine
400 MAPLE SUMMIT RD
JERSEYVILLE, IL 62052
Jersey County (618) 498-6402
JACOB SLUSSER P.T.
Physical Therapist
400 MAPLE SUMMIT RD
JERSEYVILLE, IL 62052
Jersey County (618) 498-8480
ROGER A SCHROEDER MD
Obstetrics & Gynecology (Obstetrics)
400 MAPLE SUMMIT RD
JERSEYVILLE, IL 62052
Jersey County (618) 498-3612
LARRY D REED M.D.
Radiology (Diagnostic Radiology)
400 MAPLE SUMMIT RD
JERSEYVILLE, IL 62052
Jersey County (618) 498-6402
MS. NANCY ANN TOWNZEN RN, CDE
Registered Nurse (Diabetes Educator)
400 MAPLE SUMMIT RD, JERSEY COMMUNITY HOSPITAL
JERSEYVILLE, IL 62052
Jersey County (618) 498-8402
ADVANCED IMAGING CONSULTANTS LLC
Radiology (Diagnostic Radiology)
400 MAPLE SUMMIT RD, RADIOLOGY DEPT
JERSEYVILLE, IL 62052
Jersey County (618) 498-6402
JERSEY COMMUNITY HOSPITAL DISTRICT
Family Medicine
400 MAPLE SUMMIT RD
JERSEYVILLE, IL 62052
Jersey County (618) 498-6402
JERSEY COMMUNITY HOSPITAL
General Acute Care Hospital
400 MAPLE SUMMIT RD
JERSEYVILLE, IL 62052
Jersey County (618) 498-6402

Frequently 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 Kidney And Hypertension Care Mid-America LLC's NPI number?

The NPI number for Kidney And Hypertension Care Mid-America LLC is 1114783859. It was assigned to this organization in the NPPES registry on February 21, 2024.

Where is Kidney And Hypertension Care Mid-America LLC located?

Kidney And Hypertension Care Mid-America LLC is located at 400 Maple Summit Rd, Jerseyville, IL 62052. The listed phone number is (314) 628-7750.

What is Kidney And Hypertension Care Mid-America LLC's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Nephrology, with taxonomy code 207RN0300X.

When was this NPI record last updated?

The NPPES record for Kidney And Hypertension Care Mid-America LLC was last updated on October 21, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.