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KIDNEY CARE PHYSICIANS LLC
NPI 1467672261
Internal Medicine - Nephrology in Salem, OR

Active since April 26, 2007CLIA 38D0950098 · Microscopy
875 OAK ST SE STE 5070, SALEM, OR 97301(503) 561-8565(503) 561-8560 Get Directions Write a Review

NPPES record last updated: September 21, 2011. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Kidney Care Physicians Llc NPPES

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

KIDNEY CARE PHYSICIANS LLC (NPI 1467672261) is a healthcare organization registered as a nephrology in Salem, Oregon and active in the NPI registry since April 2007. The organization holds a CLIA Microscopy certificate valid through July 15, 2028 and lists Eval Lee, Managing Member, as its authorized official.

NPPES Registry Identity

NPI1467672261
Entity TypeOrganization
Primary Taxonomy207RN0300X
Legal Business NameKIDNEY CARE PHYSICIANS LLC
Location Address875 OAK ST SE STE 5070Salem, OR 97301-3975
Mailing Address875 Oak St Se Ste 5070Salem, OR 97301-3975 · (503) 561-8565 · Fax (503) 561-8560
Phone(503) 561-8565
Fax(503) 561-8560
Organization SubpartNo
Authorized OfficialEval LeeManaging Member · (503) 561-8565
Enumeration DateApril 26, 2007
Last NPPES UpdateSeptember 21, 2011
✔ NPI 1467672261 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 OR · 11594223
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.
875 OAK ST SE STE 5070, Salem, OR 97301
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Other Identifiers 2

Medicare ID-Type Unspecified112854OR
Medicaid100101OR

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 BridgeSpan Health Company, Moda Health Plan, Inc., Regence BlueCross BlueShield of Oregon.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 Care Physicians Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

12

Medicare enrollment records show 12 clinicians reassign Medicare billing to Kidney Care Physicians LLC, which bills Medicare for the services they deliver. Of these, 8 practice at this address. They are listed nearest first.

Clinicians by Medicare Specialty 3

Nephrology9
Nurse Practitioner2
Internal Medicine1

Clinicians, nearest first (12)

Andreea Andone, M.D.
Nephrology
NPI 1891711446
875 OAK ST SE STE 5070
Salem, OR 97301
(503) 561-8565
✔ PECOS✔ Accepts MedicareSame address
Aneet Deo, M.D.
Internal Medicine
NPI 1013107556
875 OAK ST SE STE 5070
Salem, OR 97301
(503) 561-8565
✔ PECOS✔ Accepts MedicareSame address
Eva Lee, M D
Nephrology
NPI 1457450298
875 OAK ST SE STE 5070
Salem, OR 97301
(503) 561-8565
✔ PECOSSame address
Brett Mikeska, M D
Nephrology
NPI 1003915869
875 OAK ST SE STE 5070
Salem, OR 97301
(503) 561-8565
✔ PECOS✔ Accepts MedicareSame address
Misha Mohindra, MD
Nephrology
NPI 1689869513
875 OAK ST SE STE 5070
Salem, OR 97301
(503) 561-8565
✔ PECOS✔ Accepts MedicareSame address
Denis Privalov, MD
Nephrology
NPI 1649279035
875 OAK ST SE STE 5070
Salem, OR 97301
(503) 561-8565
✔ PECOS✔ Accepts MedicareSame address
Lance Dicker, MD
Nephrology
NPI 1902022817
875 OAK ST SE STE 5070
Salem, OR 97301
(503) 561-8565
✔ PECOS✔ Accepts MedicareSame address
Sitalakshmi Iyer, M.D.,
Nephrology
NPI 1023306628
875 OAK ST SE STE 5070
Salem, OR 97301
(503) 561-8565
✔ PECOS✔ Accepts MedicareSame address
Holli Watkin, CNP
Nurse Practitioner
NPI 1851645931
1601 MONMOUTH ST STE 100
Independence, OR 97351
(503) 838-0045
✔ PECOS✔ Accepts Medicare10 mi
Brianna Isaac, FNP-C
Nurse Practitioner
NPI 1932952462
2213 WOODCOCK AVE
Stayton, OR 97383
(503) 979-4550
✔ PECOS✔ Accepts Medicare14 mi
Pavan Gona, MD
Nephrology
NPI 1033319199
3615 NW SAMARITAN DRIVE SUITE 201
Corvallis, OR 97333
(541) 768-6930
✔ PECOS✔ Accepts Medicare25 mi
Kumar Rohit, MD
Nephrology
NPI 1902272347
550 1ST AVENUE NYU
New York, NY 10010
(551) 497-9362
✔ PECOS✔ Accepts Medicare2,471 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

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) 38D0950098

Kidney Care Physicians LLC · Salem, OR
Active · expires Jul 15, 2028
CLIA Number38D0950098
Laboratory TypePhysician Office
Certificate Effective DateJuly 16, 2026
Certificate Expiration DateJuly 15, 2028
Laboratory DirectorJennifer C. Neahring MD
Laboratory Phone(503) 561-8565
Laboratory LocationKidney Care Physicians LLC875 Oak St SE Suite 5070, Salem, OR 97301
CLIA data matches this NPI record on: Address 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 Kidney Care Physicians LLC's NPI number?

The NPI number for Kidney Care Physicians LLC is 1467672261. It was assigned to this organization in the NPPES registry on April 26, 2007.

Where is Kidney Care Physicians LLC located?

Kidney Care Physicians LLC is located at 875 Oak St SE Ste 5070, Salem, OR 97301. The listed phone number is (503) 561-8565.

What is Kidney Care Physicians LLC's specialty?

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

Is Kidney Care Physicians LLC enrolled in Medicare?

Yes. Kidney Care Physicians LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Kidney Care Physicians LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 12 clinicians in 3 Medicare specialties reassign their Medicare billing to Kidney Care Physicians LLC. 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 (9), Nurse Practitioner (2) and Internal Medicine (1). Of these, 8 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Kidney Care Physicians LLC hold a CLIA laboratory certificate?

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 38D0950098) is associated with this NPI, valid through July 15, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Kidney Care Physicians LLC accept?

Health plans from BridgeSpan Health Company, Moda Health Plan, Inc. and Regence BlueCross BlueShield of Oregon list Kidney Care Physicians LLC 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 Care Physicians LLC was last updated on September 21, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.