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
Mailing address25 St Anthony Pl, Mahopac, NY 10541-2763

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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