PROVIDENCE KIDNEY & HYPERTENSION SPECIALISTS LLC
NPI 1821695826
Internal Medicine - Nephrology in Newark, OH
About Providence Kidney & Hypertension Specialists Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
PROVIDENCE KIDNEY & HYPERTENSION SPECIALISTS LLC (NPI 1821695826) is a healthcare organization registered as a nephrology in Newark, Ohio and active in the NPI registry since October 2020. The organization lists Frank Boateng, Md, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
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)
Providence Kidney & Hypertension Specialists Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
6Medicare enrollment records show 6 clinicians reassign Medicare billing to Providence Kidney & Hypertension Specialists LLC, which bills Medicare for the services they deliver. Of these, 2 practice at this address and 3 within 10 miles. They are listed nearest first.
Clinicians, nearest first (6)
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 Providence Kidney & Hypertension Specialists LLC's NPI number?
The NPI number for Providence Kidney & Hypertension Specialists LLC is 1821695826. It was assigned to this organization in the NPPES registry on October 3, 2020.
Where is Providence Kidney & Hypertension Specialists LLC located?
Providence Kidney & Hypertension Specialists LLC is located at 1406 Dickerson St, Newark, OH 43055. The listed phone number is (917) 926-2914.
What is Providence Kidney & Hypertension Specialists LLC's specialty?
The primary specialty registered for this NPI is Internal Medicine, specializing in Nephrology, with taxonomy code 207RN0300X.
Is Providence Kidney & Hypertension Specialists LLC enrolled in Medicare?
Yes. Providence Kidney & Hypertension Specialists LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Providence Kidney & Hypertension Specialists LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 6 clinicians in 2 Medicare specialties reassign their Medicare billing to Providence Kidney & Hypertension Specialists 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 Nurse Practitioner (5) and Internal Medicine (1). Of these, 2 practice at this address and 3 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
What insurance does Providence Kidney & Hypertension Specialists LLC accept?
Health plans from AmeriHealth Caritas Next list Providence Kidney & Hypertension Specialists 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 Providence Kidney & Hypertension Specialists LLC was last updated on October 13, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.
# Providence Kidney & Hypertension Specialists Llc · NPI 1821695826
Nephrology organization in Newark, Ohio. Organization record, active in the CMS NPPES registry since October 3, 2020.
## Identity
- **NPI:** 1821695826 (Entity type: Organization)
- **Enumerated:** October 3, 2020
- **Primary specialty:** Internal Medicine - Nephrology · taxonomy 207RN0300X
- **Organization subpart:** No
- **Authorized official:** Frank Boateng, MD
## Practice location
- **Address:** 1406 DICKERSON ST, Newark, OH 43055-1844
- **Phone:** (917) 926-2914
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 6 clinicians in 2 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (5), Internal Medicine (1); 2 practice at this address and 3 within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** October 13, 2020
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Source: [NPI Profile](https://npiprofile.com/npi/1821695826) · Data from the CMS NPPES public registry.