PREMIERE NEPHROLOGY AND HYPERTENSION LLC
NPI 1154764595
Specialist in Elizabeth, NJ
About Premiere Nephrology And Hypertension Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
PREMIERE NEPHROLOGY AND HYPERTENSION LLC (NPI 1154764595) is a healthcare organization registered as a specialist in Elizabeth, New Jersey and active in the NPI registry since April 2013. The organization lists Maria Lourdes Silva-khazaei, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 2
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Premiere Nephrology And Hypertension Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date
Revalidation due by January 31, 2027
Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Premiere Nephrology And Hypertension 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 Premiere Nephrology And Hypertension LLC's NPI number?
The NPI number for Premiere Nephrology And Hypertension LLC is 1154764595. It was assigned to this organization in the NPPES registry on April 16, 2013.
Where is Premiere Nephrology And Hypertension LLC located?
Premiere Nephrology And Hypertension LLC is located at 240 Williamson St Suite 405, Elizabeth, NJ 07202. The listed phone number is (908) 353-2064.
What is Premiere Nephrology And Hypertension LLC's specialty?
The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.
Is Premiere Nephrology And Hypertension LLC enrolled in Medicare?
Yes. Premiere Nephrology And Hypertension LLC is registered in the Medicare PECOS enrollment system.
When is Premiere Nephrology And Hypertension LLC's Medicare revalidation due?
According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (New Jersey, Clinic/Group Practice) is due for revalidation by January 31, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.
How many clinicians bill Medicare through Premiere Nephrology And Hypertension LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Internal Medicine) reassigns their Medicare billing to Premiere Nephrology And Hypertension 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 Premiere Nephrology And Hypertension LLC was last updated on February 7, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 years 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.
# Premiere Nephrology And Hypertension Llc · NPI 1154764595
Specialist organization in Elizabeth, New Jersey. Organization record, active in the CMS NPPES registry since April 16, 2013.
## Identity
- **NPI:** 1154764595 (Entity type: Organization)
- **Enumerated:** April 16, 2013
- **Primary specialty:** Specialist · taxonomy 174400000X
- **Organization subpart:** No
- **Authorized official:** Maria Silva-Khazaei, OWNER
## Practice location
- **Address:** 240 WILLIAMSON ST, SUITE 405, Elizabeth, NJ 07202-3674
- **Phone:** (908) 353-2064
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** January 31, 2027 (Non-DME Part B, New Jersey, Clinic/Group Practice) · CMS Revalidation Due Date List, October 2026 release
- **Clinicians billing through this organization:** 1 clinician (Internal Medicine) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** February 7, 2014
- **Other identifiers:** Medicare PIN 054824 (NJ); Medicaid 8761302 (NJ)
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Source: [NPI Profile](https://npiprofile.com/npi/1154764595) · Data from the CMS NPPES public registry.