NORTHLAKE NEPHROLOGY PLLC
NPI 1174548028
Internal Medicine - Nephrology in Statesville, NC
About Northlake Nephrology Pllc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
NORTHLAKE NEPHROLOGY PLLC (NPI 1174548028) is a healthcare organization registered as a nephrology in Statesville, North Carolina and active in the NPI registry since July 2006. The organization holds a CLIA Microscopy certificate valid through October 11, 2027 and lists Sinasi Salman, Medical Doctor, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 5
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)
Northlake Nephrology Pllc 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 Northlake Nephrology PLLC, 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.
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 for Provider-Performed Microscopy Procedures (PPMP) 34D1075062
Northlake Nephrology, PLLC · Statesville, NCFrequently 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 Northlake Nephrology PLLC's NPI number?
The NPI number for Northlake Nephrology PLLC is 1174548028. It was assigned to this organization in the NPPES registry on July 13, 2006.
Where is Northlake Nephrology PLLC located?
Northlake Nephrology PLLC is located at 1665 Davie Ave, Statesville, NC 28677. The listed phone number is (704) 978-0052.
What is Northlake Nephrology PLLC's specialty?
The primary specialty registered for this NPI is Internal Medicine, specializing in Nephrology, with taxonomy code 207RN0300X.
Is Northlake Nephrology PLLC enrolled in Medicare?
Yes. Northlake Nephrology PLLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Northlake Nephrology PLLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nephrology) reassigns their Medicare billing to Northlake Nephrology PLLC. 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.
Does Northlake Nephrology PLLC hold a CLIA laboratory certificate?
Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 34D1075062) is associated with this NPI, valid through October 11, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
What insurance does Northlake Nephrology PLLC accept?
Health plans from AmeriHealth Caritas Next and Blue Cross and Blue Shield of NC list Northlake Nephrology PLLC 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 Northlake Nephrology PLLC was last updated on October 16, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.
# Northlake Nephrology Pllc · NPI 1174548028
Nephrology organization in Statesville, North Carolina. Organization record, active in the CMS NPPES registry since July 13, 2006.
## Identity
- **NPI:** 1174548028 (Entity type: Organization)
- **Enumerated:** July 13, 2006
- **Primary specialty:** Internal Medicine - Nephrology · taxonomy 207RN0300X
- **Organization subpart:** No
- **Authorized official:** Sinasi Salman, MEDICAL DOCTOR
## Practice location
- **Address:** 1665 DAVIE AVE, Statesville, NC 28677-3519
- **Phone:** (704) 978-0052 · **Fax:** (704) 978-0054
## 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 16, 2013
- **Other identifiers:** Medicaid 89131MK (NC); Other DF7259 (NC); Medicare UPIN G80079 (NC); and 2 more
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1174548028) · Data from the CMS NPPES public registry.