CUMBERLAND KIDNEY SPECIALIST
NPI 1922248756
Internal Medicine - Nephrology in Cookeville, TN
About Cumberland Kidney Specialist NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
CUMBERLAND KIDNEY SPECIALIST (NPI 1922248756) is a healthcare organization registered as a nephrology in Cookeville, Tennessee and active in the NPI registry since March 2009. The organization lists Anju Mendiratta, Physician / Sole Mbr, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 2
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)
Cumberland Kidney Specialist is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
7Medicare enrollment records show 7 clinicians reassign Medicare billing to Cumberland Kidney Specialist, which bills Medicare for the services they deliver. Of these, 2 practice at this address and 4 within 10 miles. They are listed nearest first.
Clinicians, nearest first (7)
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 Cumberland Kidney Specialist's NPI number?
The NPI number for Cumberland Kidney Specialist is 1922248756. It was assigned to this organization in the NPPES registry on March 6, 2009.
Where is Cumberland Kidney Specialist located?
Cumberland Kidney Specialist is located at 117 N Hickory Ave Ste 200, Cookeville, TN 38501. The listed phone number is (931) 646-0880.
What is Cumberland Kidney Specialist's specialty?
The primary specialty registered for this NPI is Internal Medicine, specializing in Nephrology, with taxonomy code 207RN0300X.
Is Cumberland Kidney Specialist enrolled in Medicare?
Yes. Cumberland Kidney Specialist is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Cumberland Kidney Specialist?
According to the CMS Revalidation Reassignment List (October 2026 release), 7 clinicians in 2 Medicare specialties reassign their Medicare billing to Cumberland Kidney Specialist. 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 (4) and Nephrology (3). Of these, 2 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 Cumberland Kidney Specialist accept?
Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee list Cumberland Kidney Specialist 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 Cumberland Kidney Specialist was last updated on August 11, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.
# Cumberland Kidney Specialist · NPI 1922248756
Nephrology organization in Cookeville, Tennessee. Organization record, active in the CMS NPPES registry since March 6, 2009.
## Identity
- **NPI:** 1922248756 (Entity type: Organization)
- **Enumerated:** March 6, 2009
- **Primary specialty:** Internal Medicine - Nephrology · taxonomy 207RN0300X
- **Organization subpart:** No
- **Authorized official:** Anju Mendiratta, PHYSICIAN / SOLE MBR
## Practice location
- **Address:** 117 N HICKORY AVE STE 200, Cookeville, TN 38501-2424
- **Phone:** (931) 646-0880 · **Fax:** (866) 834-5618
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 7 clinicians in 2 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (4), Nephrology (3); 2 practice at this address and 4 within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** August 11, 2022
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Source: [NPI Profile](https://npiprofile.com/npi/1922248756) · Data from the CMS NPPES public registry.