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

Q: What is the provider's specialty?

The provider's specialty is Internal Medicine with taxonomy code 207RN0300X and a focus in Nephrology.

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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

Phone(937) 643-0015

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

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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

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.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.

DR. IBRAHIM AHMAD M.D.

Internal Medicine (Nephrology)