NEPHROLOGY AND HYPERTENSION ASSOCIATES – Nephrology Physician, NPI 1073519898
Nephrology Physician
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Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for NEPHROLOGY AND HYPERTENSION ASSOCIATES
1205 W BROADWAY
COLUMBIA, MO 652032125
Phone: (573) 499-0642
Fax: (573) 449-1787
Type: Location
4700, Forum Boulevard, Columbia, Boone County, Missouri, 65203, United States
COLUMBIA, MO 652035654
Phone: (573) 449-4936
Fax: (573) 449-6795
Type: Mailing
1601, East Broadway, Strollway, Columbia, Boone County, Missouri, 65215, United States
STE 160
COLUMBIA, MO 652015821
Phone: (573) 499-0642
Fax: (573) 449-1787
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2009-03-17
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Past revalidation due date
Earliest CMS due date was 2023-10-31 (950 days ago).
Enrollment records
3
Earliest due date
2023-10-31
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| O20040407001098 | O | Clinic/Group Practice | MO | 2023-10-31 |
| O20040414001160 | O | Clinic/Group Practice | MO | 2024-06-30 |
| O20090317000627 | O | Clinic/Group Practice | MO | 2024-07-31 |
What to do next
- Verify current status on the CMS Revalidation Lookup Tool immediately.
- Complete revalidation in PECOS or contact your Medicare Administrative Contractor (MAC).
- Overdue revalidation can lead to deactivation of Medicare billing privileges.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 65203)
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