{
  "npi": "1689620254",
  "enumeration_type": "NPI-2",
  "basic": {
    "authorized_official_credential": "M.D.",
    "authorized_official_first_name": "ROY",
    "authorized_official_last_name": "MARCUS",
    "authorized_official_middle_name": "G.",
    "authorized_official_name_prefix": "--",
    "authorized_official_name_suffix": "--",
    "authorized_official_telephone_number": "6108728501",
    "authorized_official_title_or_position": "Chief Operating Officer",
    "certification_date": "2023-11-30",
    "enumeration_date": "2006-05-25",
    "last_updated": "2023-11-30",
    "organization_name": "CLINICAL RENAL ASSOCIATES, LLC",
    "organizational_subpart": "NO",
    "status": "A"
  },
  "addresses": [
    {
      "address_1": "30 MEDICAL CENTER BLVD",
      "address_2": "SUITE 303",
      "address_purpose": "LOCATION",
      "address_type": "DOM",
      "city": "UPLAND",
      "country_code": "US",
      "country_name": "United States",
      "fax_number": "610-872-5188",
      "postal_code": "190133955",
      "state": "PA",
      "telephone_number": "610-872-8501"
    },
    {
      "address_1": "850 W RIO SALADO PKWY STE 201",
      "address_purpose": "MAILING",
      "address_type": "DOM",
      "city": "TEMPE",
      "country_code": "US",
      "country_name": "United States",
      "fax_number": "480-610-6198",
      "postal_code": "852813812",
      "state": "AZ",
      "telephone_number": "480-480-8330"
    }
  ],
  "taxonomies": [
    {
      "code": "207RN0300X",
      "desc": "Internal Medicine, Nephrology",
      "license": null,
      "primary": true,
      "state": null,
      "taxonomy_group": "193400000X - Single Specialty Group"
    }
  ],
  "compliance": {
    "oig_leie_exclusion": {
      "excluded": false,
      "status": "CLEAR",
      "matches": [],
      "totalDbRecords": 84224
    },
    "cms_pecos_eligibility": {
      "note": "Not listed in CMS Order & Referring PECOS file or institutional NPI-2"
    }
  },
  "medicare_utilization": null,
  "enrichment": {
    "plain_english_specialty": "Board-Certified Nephrologist (Kidney Function, Stones & Dialysis Specialist)",
    "certifying_board": "American Board of Internal Medicine — Nephrology",
    "cms_medicare_crosswalk": [
      {
        "medicare_code": "11",
        "medicare_type": "Physician/Internal Medicine"
      },
      {
        "medicare_code": "39",
        "medicare_type": "Physician/Nephrology"
      }
    ]
  }
}