Coastal Kidney Center PA
NPI 1801961537ActiveOrganization· Internal Medicine, Nephrology· Conway, SC
Internal Medicine, Nephrology in Conway, South Carolina, registered in NPPES in November 2006. The authorized official on file is Sivanthan Balachandran, MD, President. Enrolled in Medicare as part b supplier - clinic/group practice and part b supplier - clinic/group practice.
Overview
| NPI | 1801961537 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Nov 21, 2006 |
| Last updated in NPPES | Sep 25, 2024 |
| Certified by provider | Sep 19, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Internal Medicine, Nephrology Primary | 207RN0300X | 17448 | SC |
| Internal Medicine, Nephrology | 207RN0300X | 22373 | SC |
| Internal Medicine, Nephrology | 207RN0300X | 985 | SC |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (NC); Part B Supplier - Clinic/Group Practice (SC) |
|---|
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