KIDNEY CARE SPECIALISTS, LLC
NPI 1144555939
Internal Medicine - Nephrology in Kettering, OH

Active since October 12, 2009CLIA 36D2002611 · Waiver
1362 E STROOP RD, KETTERING, OH 45429(937) 643-0015(937) 643-0016 Get Directions Write a Review

NPPES record last updated: January 21, 2015. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Kidney Care Specialists, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KIDNEY CARE SPECIALISTS, LLC (NPI 1144555939) is a healthcare organization registered as a nephrology in Kettering, Ohio and active in the NPI registry since October 2009. The organization holds a CLIA Waiver certificate valid through January 20, 2028 and lists Ibrahim Ahmad, President, as its authorized official.

NPPES Registry Identity

NPI1144555939
Entity TypeOrganization
Primary Taxonomy207RN0300X
Legal Business NameKIDNEY CARE SPECIALISTS, LLC
Location Address1362 E STROOP RDKettering, OH 45429-4926
Mailing Address1362 E Stroop RdKettering, OH 45429-4926 · (937) 643-0015 · Fax (937) 643-0016
Fax(937) 643-0016
Organization SubpartNo
Authorized OfficialIbrahim AhmadPresident · (937) 643-0015
Enumeration DateOctober 12, 2009
Last NPPES UpdateJanuary 21, 2015
NPI 1144555939 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal Medicine · NephrologyAllopathic & Osteopathic Physicians
Taxonomy Code207RN0300X
Definition
An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.
1362 E STROOP RD, Kettering, OH 45429

Other Identifiers 2

Medicare PIN9385591OH
Medicaid3015589OH

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 36D2002611

Kidney Care Specialists LLC · Kettering, OH
Active · expires Jan 20, 2028
CLIA Number36D2002611
Laboratory TypePhysician Office
Certificate Effective DateJanuary 21, 2026
Certificate Expiration DateJanuary 20, 2028
Laboratory DirectorAhmad Ibrahim
Laboratory Phone(937) 643-0015
Laboratory LocationKidney Care Specialists LLC1362 East Stroop Road, Kettering, OH 45429
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Nurse Practitioner (Family)
1362 E STROOP RD
KETTERING, OH 45429
Physician Assistant
1362 E STROOP RD
KETTERING, OH 45429
Nurse Practitioner (Family)
1362 E STROOP RD
KETTERING, OH 45429
Internal Medicine (Nephrology)
1362 E STROOP RD
KETTERING, OH 45429
Internal Medicine (Nephrology)
1362 E STROOP RD
KETTERING, OH 45429
Internal Medicine (Nephrology)
1362 E STROOP RD
KETTERING, OH 45429

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kidney Care Specialists, LLC's NPI number?

The NPI number for Kidney Care Specialists, LLC is 1144555939. It was assigned to this organization in the NPPES registry on October 12, 2009.

Where is Kidney Care Specialists, LLC located?

Kidney Care Specialists, LLC is located at 1362 E Stroop Rd, Kettering, OH 45429. The listed phone number is (937) 643-0015.

What is Kidney Care Specialists, LLC's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Nephrology, with taxonomy code 207RN0300X.

Does Kidney Care Specialists, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 36D2002611) is associated with this NPI, valid through January 20, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Kidney Care Specialists, LLC accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and CareSource and 1 other insurer list Kidney Care Specialists, LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Kidney Care Specialists, LLC was last updated on January 21, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.