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CENTRAL CAROLINA KIDNEY ASSOCIATES PA
NPI 1356582506
Internal Medicine - Nephrology in Burlington, NC

Active since March 18, 2009CLIA Certified · 2 labs
2903 PROFESSIONAL PARK RD, SUITE A, BURLINGTON, NC 27215(336) 584-4913(336) 584-4914 Get Directions Write a Review

NPPES record last updated: March 18, 2009. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Central Carolina Kidney Associates Pa NPPES

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

CENTRAL CAROLINA KIDNEY ASSOCIATES PA (NPI 1356582506) is a healthcare organization registered as a nephrology in Burlington, North Carolina and active in the NPI registry since March 2009. The organization holds 2 active CLIA laboratory certificates and lists Munsoor N Lateef, President, as its authorized official.

NPPES Registry Identity

NPI1356582506
Entity TypeOrganization
Primary Taxonomy207RN0300X
Legal Business NameCENTRAL CAROLINA KIDNEY ASSOCIATES PA
Location Address2903 PROFESSIONAL PARK RD, SUITE ABurlington, NC 27215-9388
Mailing Address2903 Professional Park Rd, Suite ABurlington, NC 27215-9388 · (336) 584-4913 · Fax (336) 584-4914
Phone(336) 584-4913
Fax(336) 584-4914
Organization SubpartNo
Authorized OfficialMunsoor N LateefPresident · (336) 584-4913
Enumeration DateMarch 18, 2009
✔ NPI 1356582506 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.
2903 PROFESSIONAL PARK RD, Burlington, NC 27215
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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 from Absolute Total Care, Ambetter Health, Ambetter of North Carolina and more.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)

Central Carolina Kidney Associates Pa is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

10

Medicare enrollment records show 10 clinicians reassign Medicare billing to Central Carolina Kidney Associates PA, which bills Medicare for the services they deliver. Of these, 6 practice at this address. They are listed nearest first.

Clinicians by Medicare Specialty 3

Nephrology5
Nurse Practitioner4
Pediatric Medicine1

Clinicians, nearest first (10)

Sarath Kolluru, MD
Nephrology
NPI 1255534004
2903 PROFESSIONAL PARK DR SUITE D
Burlington, NC 27215
(336) 584-4913
✔ PECOS✔ Accepts MedicareSame address
Munsoor Lateef, MD
Nephrology
NPI 1073716742
2903 PROFESSIONAL PARK DR SUITE D
Burlington, NC 27215
(336) 584-4913
✔ PECOS✔ Accepts MedicareSame address
Harmeet Singh, M.D.
Nephrology
NPI 1306866967
2903 PROFESSIONAL PARK RD SUITE D
Burlington, NC 27215
(336) 584-4913
✔ PECOS✔ Accepts MedicareSame address
Lourdesee Ruth, NP
Nurse Practitioner
NPI 1346085750
2903 PROFESSIONAL PARK DR STE D
Burlington, NC 27215
(336) 584-4913
✔ PECOS✔ Accepts MedicareSame address
Taran Singh
Pediatric Medicine
NPI 1376736546
2903 PROFESSIONAL PARK DR STE D
Burlington, NC 27215
(336) 584-4913
✔ PECOS✔ Accepts MedicareSame address
Rachel Hyler, NP-C
Nurse Practitioner
NPI 1134544596
2903 PROFESSIONAL PARK DR STE D
Burlington, NC 27215
(336) 584-4913
✔ PECOS✔ Accepts MedicareSame address
Amber Smith, FNP
Nurse Practitioner
NPI 1609461995
1200 N ELM ST
Greensboro, NC 27401
(336) 832-7000
✔ PECOS✔ Accepts Medicare16 mi
Shantelle Breeze, AGNP
Nurse Practitioner
NPI 1124612452
203 POMONA DR
Greensboro, NC 27407
(336) 282-0132
✔ PECOS✔ Accepts Medicare21 mi
Manpreet Bhutani, MBBS
Nephrology
NPI 1245412758
2817 ROCK MERRITT AVE
Fort Bragg, NC 28310
(910) 907-8922
✔ PECOS✔ Accepts Medicare76 mi
Madhusudana Korrapati, M.D.
Nephrology
NPI 1255339834
300 OLD COUNTRY RD SUITE 111
Mineola, NY 11501
(516) 745-0500
✔ PECOS✔ Accepts Medicare452 mi

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 2

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) 34D2302398

Central Carolina Kidney Associates · Reidsville, NC
Active · expires Sep 30, 2028
CLIA Number34D2302398
Laboratory TypePhysician Office
Certificate Effective DateOctober 1, 2026
Certificate Expiration DateSeptember 30, 2028
Laboratory DirectorMunsoor N. Lateef
Laboratory Phone(336) 584-4913
Laboratory LocationCentral Carolina Kidney Associates2509 A Richardson Drive, Reidsville, NC 27320
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

Certificate for Provider-Performed Microscopy Procedures (PPMP) 34D1103826

Central Carolina Kidney Associates PA · Burlington, NC
Active · expires Aug 18, 2027
CLIA Number34D1103826
Laboratory TypePhysician Office
Certificate Effective DateAugust 19, 2025
Certificate Expiration DateAugust 18, 2027
Laboratory DirectorHarmeet Singh MD
Laboratory Phone(336) 584-4913
Laboratory LocationCentral Carolina Kidney Associates PA2903 Professional Park Dr Ste E, Burlington, NC 27215
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

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 Central Carolina Kidney Associates PA's NPI number?

The NPI number for Central Carolina Kidney Associates PA is 1356582506. It was assigned to this organization in the NPPES registry on March 18, 2009.

Where is Central Carolina Kidney Associates PA located?

Central Carolina Kidney Associates PA is located at 2903 Professional Park Rd Suite A, Burlington, NC 27215. The listed phone number is (336) 584-4913.

What is Central Carolina Kidney Associates PA's specialty?

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

Is Central Carolina Kidney Associates PA enrolled in Medicare?

Yes. Central Carolina Kidney Associates PA is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Central Carolina Kidney Associates PA?

According to the CMS Revalidation Reassignment List (October 2026 release), 10 clinicians in 3 Medicare specialties reassign their Medicare billing to Central Carolina Kidney Associates PA. 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. The largest specialties are Nephrology (5), Nurse Practitioner (4) and Pediatric Medicine (1). Of these, 6 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Central Carolina Kidney Associates PA hold CLIA laboratory certificates?

Yes. 2 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

What insurance does Central Carolina Kidney Associates PA accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of North Carolina, Ambetter of Tennessee and AmeriHealth Caritas Next and 1 other insurer list Central Carolina Kidney Associates PA 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 Central Carolina Kidney Associates PA was last updated on March 18, 2009. 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.