{"npi":"1164536587","type":"NPI-2","status":"active","name":{"display":"Bloomington Kidney & Hypertension Specialists PC","other":[],"organization_name":"BLOOMINGTON KIDNEY & HYPERTENSION SPECIALISTS PC","authorised_official":"Hideki Kawanishi"},"specialty":{"primary_taxonomy":"207RN0300X","primary_taxonomy_description":"Nephrology Physician","slug":"nephrology-physician","schema_org_specialty":null,"all":[{"code":"207RN0300X","description":"Nephrology Physician","primary":true,"state":null,"license":null}]},"addresses":[{"purpose":"LOCATION","street_1":"515 S WOODSCREST DR","city":"BLOOMINGTON","state":"IN","postal_code":"47401","country_code":"US","phone":"8123338194","fax":"8123338237"},{"purpose":"MAILING","street_1":"PO BOX 6715","city":"BLOOMINGTON","state":"IN","postal_code":"474076715","country_code":"US","phone":"8123338194","fax":"8123338237"}],"license":null,"identifiers":[{"type_code":"05","label":"Medicaid","value":"200498840A","state":"IN","issuer":null}],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"O20050602000959","type_code":"12-70","type_desc":"PART B SUPPLIER - CLINIC/GROUP PRACTICE","state":"IN","pac_id":"3173566999"}]},"enumeration_date":"2006-08-19","last_updated":"2023-04-19","_meta":{"source":"NPPES","snapshot_date":"2023-04-19","doc_url":"https://findmynpi.com/api"}}