KIDNEY CLINIC OF NORTH FLORIDA PLLC
NPI 1467036590
Internal Medicine - Nephrology in Jacksonville, FL

Active since May 05, 2021
6885 BELFORT OAKS PL STE 230, JACKSONVILLE, FL 32216(904) 593-5333(904) 593-5334 Get Directions Write a Review

NPPES record last updated: February 5, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Feb 5, 2026, Feb 10, 2022, May 5, 2021 (3 updates tracked since 2021).

About Kidney Clinic Of North Florida Pllc NPPES

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

KIDNEY CLINIC OF NORTH FLORIDA PLLC (NPI 1467036590) is a healthcare organization registered as a nephrology in Jacksonville, Florida and active in the NPI registry since May 2021. The organization lists Gaurav Tandon, Md, as its authorized official.

NPPES Registry Identity

NPI1467036590
Entity TypeOrganization
Primary Taxonomy207RN0300X
Legal Business NameKIDNEY CLINIC OF NORTH FLORIDA PLLC
Location Address6885 BELFORT OAKS PL STE 230Jacksonville, FL 32216-6283
Mailing Address12620 Beach Blvd Ste 3-422Jacksonville, FL 32246-7131 · (904) 744-4448 · Fax (904) 744-4048
Fax(904) 593-5334
Organization SubpartNo
Authorized OfficialGaurav TandonMd · (216) 692-1956
Enumeration DateMay 5, 2021
Last NPPES UpdateFebruary 5, 20263 updates tracked since enumeration
NPPES CertifiedFebruary 5, 2026
✔ NPI 1467036590 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.
6885 BELFORT OAKS PL STE 230, Jacksonville, FL 32216

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

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 Clinic Of North Florida Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

4

Medicare enrollment records show 4 clinicians reassign Medicare billing to Kidney Clinic Of North Florida PLLC, which bills Medicare for the services they deliver. Of these, 3 practice at this address and 4 within 10 miles. They are listed nearest first.

Clinicians, nearest first (4)

Nephrology
NPI 1306069562
6885 BELFORT OAKS PL STE 230
Jacksonville, FL 32216
(904) 593-5333
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1245418979
6885 BELFORT OAKS PL STE 230
Jacksonville, FL 32216
(904) 593-5333
✔ PECOSSame address
Nephrology
NPI 1407092562
6885 BELFORT OAKS PL STE 230
Jacksonville, FL 32216
(904) 593-5333
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1013410844
820 PRUDENTIAL DR STE 304
Jacksonville, FL 32207
(904) 202-3860
✔ PECOS✔ Accepts Medicare6.3 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 Clinic Of North Florida PLLC's NPI number?

The NPI number for Kidney Clinic Of North Florida PLLC is 1467036590. It was assigned to this organization in the NPPES registry on May 5, 2021.

Where is Kidney Clinic Of North Florida PLLC located?

Kidney Clinic Of North Florida PLLC is located at 6885 Belfort Oaks Pl Ste 230, Jacksonville, FL 32216. The listed phone number is (904) 593-5333.

What is Kidney Clinic Of North Florida PLLC's specialty?

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

Is Kidney Clinic Of North Florida PLLC enrolled in Medicare?

Yes. Kidney Clinic Of North Florida PLLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Kidney Clinic Of North Florida PLLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 4 clinicians reassign their Medicare billing to Kidney Clinic Of North Florida PLLC, 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, 3 practice at this address and 4 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Kidney Clinic Of North Florida PLLC accept?

Health plans from Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company) and Wellpoint list Kidney Clinic Of North Florida 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 Clinic Of North Florida PLLC was last updated on February 5, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 months 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.