Mid-South Renal Clinic, PLC
NPI 1093724346 · Specialist · Marion, AR
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Mid-South Renal Clinic, PLC is a Specialist organization in Marion, AR (NPI 1093724346).
Provider details
- NPI number
- 1093724346
- Entity type
- Organization
- Primary specialty
- SpecialistOther Service Providers
- Organization subpart
- No
- Authorized official
- Mashhud Mirza, President(870) 733-1177
Specialties & taxonomies
Other Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2006-08-05
- Last updated
- 2013-05-03
Frequently asked questions
- What is Mid-South Renal Clinic, PLC's NPI number?
- Mid-South Renal Clinic, PLC's National Provider Identifier (NPI) is 1093724346, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Mid-South Renal Clinic, PLC?
- Mid-South Renal Clinic, PLC is classified in the NPPES registry as Specialist (Other Service Providers).
- Where is Mid-South Renal Clinic, PLC located?
- Mid-South Renal Clinic, PLC's practice location on file with NPPES is 1120 State Highway 77 Ste 1, Marion, AR 72364-9046.
- What is Mid-South Renal Clinic, PLC's phone number?
- The practice phone number listed in the NPPES registry for Mid-South Renal Clinic, PLC is (870) 733-1177.
- Does Mid-South Renal Clinic, PLC accept Medicare?
- Mid-South Renal Clinic, PLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Mid-South Renal Clinic, PLC?
- The authorized official listed on Mid-South Renal Clinic, PLC's NPPES record is Mashhud Mirza, President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Mid-South Renal Clinic, PLC's NPI active?
- Yes — Mid-South Renal Clinic, PLC's NPI (1093724346) is active in the NPPES registry as of the last update on 2013-05-03.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.