RIVERSIDE NEPHROLOGY PC
NPI 1275628174
Internal Medicine - Nephrology in North Andover, MA
About Riverside Nephrology Pc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
RIVERSIDE NEPHROLOGY PC (NPI 1275628174) is a healthcare organization registered as a nephrology in North Andover, Massachusetts and active in the NPI registry since October 2006. The organization lists Eduardo S Haddad, President, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 3
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)
Riverside Nephrology Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date
Revalidation due by February 28, 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
3Medicare enrollment records show 3 clinicians reassign Medicare billing to Riverside Nephrology PC, which bills Medicare for the services they deliver. Of these, 2 practice at this address and 3 within 10 miles. They are listed nearest first.
Clinicians, nearest first (3)
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 Riverside Nephrology PC's NPI number?
The NPI number for Riverside Nephrology PC is 1275628174. It was assigned to this organization in the NPPES registry on October 4, 2006.
Where is Riverside Nephrology PC located?
Riverside Nephrology PC is located at 575 Turnpike St Ste 17, North Andover, MA 01845. The listed phone number is (978) 686-4343.
What is Riverside Nephrology PC's specialty?
The primary specialty registered for this NPI is Internal Medicine, specializing in Nephrology, with taxonomy code 207RN0300X.
Is Riverside Nephrology PC enrolled in Medicare?
Yes. Riverside Nephrology PC is registered in the Medicare PECOS enrollment system.
When is Riverside Nephrology 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 (Massachusetts, Clinic/Group Practice) is due for revalidation by February 28, 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 Riverside Nephrology PC?
According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians reassign their Medicare billing to Riverside Nephrology PC, in Internal Medicine and Nephrology. 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, 2 practice at this address and 3 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
What insurance does Riverside Nephrology PC accept?
Health plans from Anthem Blue Cross and Blue Shield list Riverside Nephrology 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 Riverside Nephrology PC was last updated on December 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.
# Riverside Nephrology Pc · NPI 1275628174
Nephrology organization in North Andover, Massachusetts. Organization record, active in the CMS NPPES registry since October 4, 2006.
## Identity
- **NPI:** 1275628174 (Entity type: Organization)
- **Enumerated:** October 4, 2006
- **Primary specialty:** Internal Medicine - Nephrology · taxonomy 207RN0300X
- **Organization subpart:** No
- **Authorized official:** Eduardo Haddad, PRESIDENT
## Practice location
- **Address:** 575 TURNPIKE ST STE 17, North Andover, MA 01845-5937
- **Phone:** (978) 686-4343 · **Fax:** (978) 682-5191
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** February 28, 2027 (Non-DME Part B, Massachusetts, Clinic/Group Practice) · CMS Revalidation Due Date List, October 2026 release
- **Clinicians billing through this organization:** 3 clinicians in 2 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nephrology (2), Internal Medicine (1); 2 practice at this address and 3 within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** December 22, 2020
- **Other identifiers:** Other 805418 (MA); Medicaid 9783512 (MA); Other M16918 (MA)
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Source: [NPI Profile](https://npiprofile.com/npi/1275628174) · Data from the CMS NPPES public registry.