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CLINIC FOR KIDNEY DISEASES PA
NPI 1467471672
Internal Medicine - Nephrology in Jacksonville, FL

Active since July 19, 2006
2585 HERSCHEL ST, JACKSONVILLE, FL 32204(904) 388-2678(904) 388-6776 Get Directions Write a Review

NPPES record last updated: January 20, 2010. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Clinic For Kidney Diseases Pa NPPES

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

CLINIC FOR KIDNEY DISEASES PA (NPI 1467471672) is a healthcare organization registered as a nephrology in Jacksonville, Florida and active in the NPI registry since July 2006. The organization lists Dinesh Jayadevappa, President, as its authorized official.

NPPES Registry Identity

NPI1467471672
Entity TypeOrganization
Primary Taxonomy207RN0300X
Legal Business NameCLINIC FOR KIDNEY DISEASES PA
Location Address2585 HERSCHEL STJacksonville, FL 32204-4557
Mailing Address2585 Herschel StJacksonville, FL 32204-4557 · (904) 388-2678 · Fax (904) 388-6776
Phone(904) 388-2678
Fax(904) 388-6776
Organization SubpartNo
Authorized OfficialDinesh JayadevappaPresident · (904) 388-2678
Enumeration DateJuly 19, 2006
Last NPPES UpdateJanuary 20, 2010
✔ NPI 1467471672 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · NephrologyAllopathic & Osteopathic Physicians
Taxonomy Code207RN0300X
License✔ Licensed in FL · ME24762
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.

2585 HERSCHEL ST, Jacksonville, FL 32204
Open in Google Maps ↗

Other Identifiers 4

Medicare ID-Type Unspecified99457FL · Medicare Part B Group #
Medicaid255215900FL
Other99457FL · Bcbs Group #
Medicare ID-Type UnspecifiedB1063FL · R/r Medicare Part B Group

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 Superior HealthPlan, Ambetter Health, Ambetter of Alabama.Insurance ›

Other Providers at the Same Location NPPES 9

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

PRASANTH KRISH M.D.
Internal Medicine (Nephrology)
2585 HERSCHEL ST
JACKSONVILLE, FL 32204
Duval County (904) 388-2678
DR. NILAY NAHAR M.D.
Internal Medicine (Nephrology)
2585 HERSCHEL ST
JACKSONVILLE, FL 32204
Duval County (904) 388-2678
PERRI SCHELLENBERG MS, RDN, LDN
Dietitian, Registered
2585 HERSCHEL ST
JACKSONVILLE, FL 32204
Duval County (904) 388-2678
DR. VAN SHANTHARAM M.D.
Specialist
2585 HERSCHEL ST
JACKSONVILLE, FL 32204
Duval County (904) 388-2678
DR. SHAUN MAGBUHAT AURE M.D.
Internal Medicine (Nephrology)
2585 HERSCHEL ST
JACKSONVILLE, FL 32204
Duval County (904) 388-2678
DR. DINESH JAYADEVAPPA M.D.
Internal Medicine (Nephrology)
2585 HERSCHEL ST
JACKSONVILLE, FL 32204
Duval County (904) 388-2678
DR. BRIJENDRA K GUPTA M.D.
Internal Medicine (Nephrology)
2585 HERSCHEL ST
JACKSONVILLE, FL 32204
Duval County (904) 388-2678
ANNE CHRISTINE GAUCHER PA-C
Physician Assistant (Medical)
2585 HERSCHEL ST
JACKSONVILLE, FL 32204
Duval County (904) 388-2678

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 Clinic For Kidney Diseases PA's NPI number?

The NPI number for Clinic For Kidney Diseases PA is 1467471672. It was assigned to this organization in the NPPES registry on July 19, 2006.

Where is Clinic For Kidney Diseases PA located?

Clinic For Kidney Diseases PA is located at 2585 Herschel St, Jacksonville, FL 32204. The listed phone number is (904) 388-2678.

What is Clinic For Kidney Diseases PA's specialty?

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

What insurance does Clinic For Kidney Diseases PA accept?

Health plans from Ambetter Health, Ambetter from Superior HealthPlan and Ambetter of Alabama list Clinic For Kidney Diseases 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 Clinic For Kidney Diseases PA was last updated on January 20, 2010. NPI Profile syncs with the weekly NPPES data releases published by CMS.