KIDNEY & HYPERTENSION CLINIC PLLC
NPI 1174789325
Internal Medicine - Nephrology in Mount Vernon, WA

Q: What is Kidney & Hypertension Clinic PLLC's NPI number?

The NPI number for Kidney & Hypertension Clinic PLLC is 1174789325. It was assigned to this organization in the NPPES registry on August 6, 2008.

Q: What is Kidney & Hypertension Clinic PLLC's specialty?

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

Active since August 06, 2008

1617 E DIVISION ST, MOUNT VERNON, WA 98274(360) 424-7400 Get Directions Write a Review

NPPES record last updated: December 13, 2008. Verified against the NPPES registry weekly; last sync: October 18, 2026.

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About Kidney & Hypertension Clinic Pllc NPPES

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

KIDNEY & HYPERTENSION CLINIC PLLC (NPI 1174789325) is a healthcare organization registered as a nephrology in Mount Vernon, Washington and active in the NPI registry since August 2008. The organization lists Ajith J Kumar, Owner, as its authorized official.

NPPES Registry Identity

NPI1174789325

Entity TypeOrganization

Primary Taxonomy207RN0300X

Legal Business NameKIDNEY & HYPERTENSION CLINIC PLLC

Location Address1617 E DIVISION STMount Vernon, WA 98274-4503

Mailing Address1617 E Division StMount Vernon, WA 98274-4503 · (360) 424-7400

Phone(360) 424-7400

Organization SubpartNo

Authorized OfficialAjith J KumarOwner · (360) 424-7400

Enumeration DateAugust 6, 2008

Last NPPES UpdateDecember 13, 2008

✔ NPI 1174789325 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.

1617 E DIVISION ST, Mount Vernon, WA 98274

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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

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Molina Healthcare.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)

Kidney & Hypertension Clinic 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 Kidney & Hypertension Clinic PLLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Ajith Kumar, MD

Internal Medicine

NPI 1609952381

2124 12TH AVE
Lewiston, ID 83501

(208) 743-9986

✔ PECOS✔ Accepts Medicare286 mi

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 & Hypertension Clinic PLLC's NPI number?

The NPI number for Kidney & Hypertension Clinic PLLC is 1174789325. It was assigned to this organization in the NPPES registry on August 6, 2008.

Where is Kidney & Hypertension Clinic PLLC located?

Kidney & Hypertension Clinic PLLC is located at 1617 E Division St, Mount Vernon, WA 98274. The listed phone number is (360) 424-7400.

What is Kidney & Hypertension Clinic PLLC's specialty?

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

Is Kidney & Hypertension Clinic PLLC enrolled in Medicare?

Yes. Kidney & Hypertension Clinic PLLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Kidney & Hypertension Clinic PLLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Internal Medicine) reassigns their Medicare billing to Kidney & Hypertension Clinic 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.

What insurance does Kidney & Hypertension Clinic PLLC accept?

Health plans from Ambetter Health and Molina Healthcare list Kidney & Hypertension Clinic 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 Kidney & Hypertension Clinic PLLC was last updated on December 13, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.