KIDNEY AND HYPERTENSION CARE MID-AMERICA LLC
NPI 1114783859
Internal Medicine - Nephrology in Jerseyville, IL
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
Specialties & Licenses
Other Identifiers 1
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Kidney And Hypertension Care Mid-america Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Kidney And Hypertension Care Mid-America LLC, which bills Medicare for the services this clinician delivers.
Clinician (1)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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.
Is Kidney And Hypertension Care Mid-America LLC enrolled in Medicare?
Yes. Kidney And Hypertension Care Mid-America LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Kidney And Hypertension Care Mid-America LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nephrology) reassigns their Medicare billing to Kidney And Hypertension Care Mid-America LLC. 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 12 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.
# Kidney And Hypertension Care Mid-America Llc · NPI 1114783859
Nephrology organization in Jerseyville, Illinois. Organization record, active in the CMS NPPES registry since February 21, 2024.
## Identity
- **NPI:** 1114783859 (Entity type: Organization)
- **Enumerated:** February 21, 2024
- **Primary specialty:** Internal Medicine - Nephrology · taxonomy 207RN0300X
- **Organization subpart:** No
- **Authorized official:** Meher Mallick, OWNER
## Practice location
- **Address:** 400 MAPLE SUMMIT RD, Jerseyville, IL 62052-2028
- **Phone:** (314) 628-7750
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Nephrology) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** October 21, 2025
- **Other identifiers:** Medicaid 03609903 (IL)
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Source: [NPI Profile](https://npiprofile.com/npi/1114783859) · Data from the CMS NPPES public registry.