NORTHEAST NEPHROLOGY & INTERNAL MEDICINE, PC
NPI 1619151263
Internal Medicine - Nephrology in Methuen, MA

Active since December 18, 2007
411 MERRIMACK ST, SUITE 204, METHUEN, MA 01844(978) 689-2500(978) 689-2502 Get Directions Write a Review

NPPES record last updated: October 10, 2012. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Northeast Nephrology & Internal Medicine, Pc NPPES

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

NORTHEAST NEPHROLOGY & INTERNAL MEDICINE, PC (NPI 1619151263) is a healthcare organization registered as a nephrology in Methuen, Massachusetts and active in the NPI registry since December 2007. The organization lists Durga E Rao, Owner, as its authorized official.

NPPES Registry Identity

NPI1619151263
Entity TypeOrganization
Primary Taxonomy207RN0300X
Legal Business NameNORTHEAST NEPHROLOGY & INTERNAL MEDICINE, PC
Location Address411 MERRIMACK ST, SUITE 204Methuen, MA 01844-5821
Mailing Address411 Merrimack St, Suite 204Methuen, MA 01844-5821 · (978) 689-2500 · Fax (978) 689-2502
Fax(978) 689-2502
Organization SubpartNo
Authorized OfficialDurga E RaoOwner · (978) 689-2500
Enumeration DateDecember 18, 2007
Last NPPES UpdateOctober 10, 2012
✔ NPI 1619151263 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 MA · 206923
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.
411 MERRIMACK ST, Methuen, MA 01844

Other Identifiers 5

Medicare PIN0003961MA
OtherM19469MA · Bs Of Ma
Medicare PIN000396101NH
MedicaidRAO30204898NH
Medicaid9790683MA

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-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)

Northeast Nephrology & Internal Medicine, Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Northeast Nephrology & Internal Medicine, PC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Nephrology
NPI 1770554370
411 MERRIMACK ST SUITE 204
Methuen, MA 01844
(978) 689-2500
✔ PECOS✔ Accepts MedicareSame address

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 Northeast Nephrology & Internal Medicine, PC's NPI number?

The NPI number for Northeast Nephrology & Internal Medicine, PC is 1619151263. It was assigned to this organization in the NPPES registry on December 18, 2007.

Where is Northeast Nephrology & Internal Medicine, PC located?

Northeast Nephrology & Internal Medicine, PC is located at 411 Merrimack St Suite 204, Methuen, MA 01844. The listed phone number is (978) 689-2500.

What is Northeast Nephrology & Internal Medicine, PC's specialty?

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

Is Northeast Nephrology & Internal Medicine, PC enrolled in Medicare?

Yes. Northeast Nephrology & Internal Medicine, PC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Northeast Nephrology & Internal Medicine, PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nephrology) reassigns their Medicare billing to Northeast Nephrology & Internal Medicine, PC. 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Northeast Nephrology & Internal Medicine, PC accept?

Health plans from Anthem Blue Cross and Blue Shield list Northeast Nephrology & Internal Medicine, 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 Northeast Nephrology & Internal Medicine, PC was last updated on October 10, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.