BLOOMINGTON KIDNEY & HYPERTENSION SPECIALISTS PC
NPI 1164536587
Internal Medicine - Nephrology in Bloomington, IN
About Bloomington Kidney & Hypertension Specialists Pc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
BLOOMINGTON KIDNEY & HYPERTENSION SPECIALISTS PC (NPI 1164536587) is a healthcare organization registered as a nephrology in Bloomington, Indiana and active in the NPI registry since August 2006. The organization lists Hideki Kawanishi, President, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 1
Group Practice 1
Accepted Insurance
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)
Bloomington Kidney & Hypertension Specialists Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date
Revalidation due by November 30, 2026
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
2Medicare enrollment records show 2 clinicians reassign Medicare billing to Bloomington Kidney & Hypertension Specialists PC, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 2 within 10 miles. They are listed nearest first.
Clinicians, nearest first (2)
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 Bloomington Kidney & Hypertension Specialists PC's NPI number?
The NPI number for Bloomington Kidney & Hypertension Specialists PC is 1164536587. It was assigned to this organization in the NPPES registry on August 19, 2006.
Where is Bloomington Kidney & Hypertension Specialists PC located?
Bloomington Kidney & Hypertension Specialists PC is located at 515 S Woodscrest Dr, Bloomington, IN 47401. The listed phone number is (812) 333-8194.
What is Bloomington Kidney & Hypertension Specialists PC's specialty?
The primary specialty registered for this NPI is Internal Medicine, specializing in Nephrology, with taxonomy code 207RN0300X.
Is Bloomington Kidney & Hypertension Specialists PC enrolled in Medicare?
Yes. Bloomington Kidney & Hypertension Specialists PC is registered in the Medicare PECOS enrollment system.
When is Bloomington Kidney & Hypertension Specialists PC'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 (Indiana, Clinic/Group Practice) is due for revalidation by November 30, 2026. 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 Bloomington Kidney & Hypertension Specialists PC?
According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians reassign their Medicare billing to Bloomington Kidney & Hypertension Specialists PC, in Nephrology and Nurse Practitioner. 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. Of these, 1 practice at this address and 2 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
What insurance does Bloomington Kidney & Hypertension Specialists PC accept?
Health plans from Anthem Blue Cross and Blue Shield list Bloomington Kidney & Hypertension Specialists PC 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 Bloomington Kidney & Hypertension Specialists PC was last updated on April 19, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.
# Bloomington Kidney & Hypertension Specialists Pc · NPI 1164536587
Nephrology organization in Bloomington, Indiana. Organization record, active in the CMS NPPES registry since August 19, 2006.
## Identity
- **NPI:** 1164536587 (Entity type: Organization)
- **Enumerated:** August 19, 2006
- **Primary specialty:** Internal Medicine - Nephrology · taxonomy 207RN0300X
- **Organization subpart:** No
- **Authorized official:** Hideki Kawanishi, PRESIDENT
## Practice location
- **Address:** 515 S WOODSCREST DR, Bloomington, IN 47401
- **Phone:** (812) 333-8194 · **Fax:** (812) 333-8237
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** November 30, 2026 (Non-DME Part B, Indiana, Clinic/Group Practice) · CMS Revalidation Due Date List, October 2026 release
- **Clinicians billing through this organization:** 2 clinicians in 2 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nephrology (1), Nurse Practitioner (1); 1 practice at this address and 2 within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** April 19, 2023
- **Other identifiers:** Medicaid 200498840A (IN)
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Source: [NPI Profile](https://npiprofile.com/npi/1164536587) · Data from the CMS NPPES public registry.