Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Kisra Anis

Individual provider Internal Medicine Physician · NPI 1518097146

Dr. Kisra Anis is a Nephrology in Bronx, New York. Qualified in 1991, 35 years ago. Practices with Waters Place Medical Group PC, a 5-clinician group and accepts Medicare assignment. Licensed in New York.

Years since qualifying
35
Licensed in
NY
In the registry since
2007
Specialties on file
3
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Practice location Address checks out

1400 Pelham Pkwy S
Bronx, NY 10461-1138
Phone: (718) 918-3060
Fax: (718) 918-4469
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nephrology Physician (primary) Taxonomy 207RN0300X · Licence 207404 (NY)
Internal Medicine Physician Taxonomy 207R00000X · Licence 207404 (NY)
Rheumatology Physician Taxonomy 207RR0500X · Licence 207404 (NY)

Record details

NPI number1518097146
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedMarch 6, 2007
Last updated in NPPESMay 7, 2015

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNEPHROLOGY
Medical schoolOTHER
Graduated 1991 (35 years in practice)
Group practice Waters Place Medical Group Pc — 5 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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