NEPHROLOGY ASSOCIATES OF KENTUCKIANA PSC
NPI 1164764205
Nurse Practitioner in Louisville, KY

NPI Status: Active since March 26, 2013

Contact Information

6400 DUTCHMANS PKWY
SUITE 250
LOUISVILLE, KY
ZIP 40205
Phone: (502) 587-9660
Fax: (502) 540-5615

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  • Organization
  • Nurse Practitioner
  • CLIA Number: 18D0320893
  • CLIA Cert. Type: Physician Office
  • CLIA Exp. Date: 02-20-2027

About NEPHROLOGY ASSOCIATES OF KENTUCKIANA PSC

This page provides the complete NPI Profile along with additional information for Nephrology Associates Of Kentuckiana Psc, a provider established in Louisville, Kentucky operating as a Nurse Practitioner. The healthcare provider is registered in the NPI registry with number 1164764205 assigned on March 2013. The practitioner's primary taxonomy code is 363L00000X. The provider is registered as an organization and their NPI record was last updated 5 years ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The authorized official of this NPI record is Ms. Debra Lynn Roos Cpc (Billing Department Manager)

NPI
1164764205
Provider Name
NEPHROLOGY ASSOCIATES OF KENTUCKIANA PSC
Entity Type
Organization
Location Address
6400 DUTCHMANS PKWY SUITE 250 LOUISVILLE, KY 40205
Location Phone
(502) 587-9660
Location Fax
(502) 540-5615
Mailing Address
6400 DUTCHMANS PKWY SUITE 250 LOUISVILLE, KY 40205
Mailing Phone
(502) 587-9660
Mailing Fax
(502) 540-5615
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
03-26-2013
Last Update Date
08-16-2021
Code Navigator

A nurse practitioner (NP) like Nephrology Associates Of Kentuckiana Psc is an experienced registered nurse with a master’s or doctoral degree and advanced clinical training. Nurse practitioners can work in many different specialties including primary care, pediatrics, cardiology, emergency, women’s health, oncology or geriatrics. Nurse practitioners provide services like physical exams, order laboratory tests, manage diseases, write prescriptions, etc.

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Nurse Practitioner

Taxonomy Code
363L00000X
Type
Physician Assistants & Advanced Practice Nursing Providers
Taxonomy Description
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Group Taxonomy 193400000X SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

MS. DEBRA LYNN ROOS CPC

Authorized Official Title
BILLING DEPARTMENT MANAGER
Authorized Official Phone
(502) 587-9660

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
7100089380MEDICAID (05)KY 

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
18D0320893
Facility Type
Physician Office
Certificate Effective Date
February 21, 2025
Certificate Expiration Date
February 20, 2027
Laboratory Director
DR. RAMSEY N. NASSAR
Certificate Type
Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description
This CLIA certificate is issued to Nephrology Associates Of Kentuckiana Psc in which a physician, midlevel practitioner or dentist that performs specific microscopy procedures during the course of a patient's visit. A limited list of provider-performed microscopy procedures is included under this certificate type, which are categorized as moderate complexity testing.

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1164764205, we treat the final digit (5) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 55. The final step is to find the difference between that total and the next multiple of ten (60 - 55 = 5).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
1
Unchanged
Pos 3
6
Doubled → 12 → 1 + 2
Pos 4
4
Unchanged
Pos 5
7
Doubled → 14 → 1 + 4
Pos 6
6
Unchanged
Pos 7
4
Doubled → 8
Pos 8
2
Unchanged
Pos 9
0
Doubled → 0
Check
5
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 6 → 12 → 3 7 → 14 → 5 4 → 8 0 → 0

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 1 + 1 + 2 + 4 + 1 + 4 + 6 + 8 + 2 + 0 + 24 = 55

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 55 is 60. The difference is the calculated check digit.

60 - 55 = 5
This NPI is valid
The calculated check digit is 5, which matches the last digit of 1164764205.

Other Providers at the Same Location


The following 20 providers are registered at the same or a nearby location.

Psychiatry & Neurology (Psychiatry)
6400 DUTCHMANS PKWY, STE 331
LOUISVILLE, KY 40205
Psychiatry & Neurology (Psychiatry)
6400 DUTCHMANS PKWY, STE 331
LOUISVILLE, KY 40205
Internal Medicine (Nephrology)
6400 DUTCHMANS PKWY, STE 250
LOUISVILLE, KY 40205
Internal Medicine (Nephrology)
6400 DUTCHMANS PKWY, STE 250
LOUISVILLE, KY 40205
Internal Medicine (Nephrology)
6400 DUTCHMANS PKWY, STE 250
LOUISVILLE, KY 40205
Internal Medicine (Nephrology)
6400 DUTCHMANS PKWY, STE 250
LOUISVILLE, KY 40205
Internal Medicine (Nephrology)
6400 DUTCHMANS PKWY, STE 250
LOUISVILLE, KY 40205
Internal Medicine (Nephrology)
6400 DUTCHMANS PKWY, STE 250
LOUISVILLE, KY 40205
Internal Medicine (Nephrology)
6400 DUTCHMANS PKWY, STE 250
LOUISVILLE, KY 40205
Internal Medicine (Nephrology)
6400 DUTCHMANS PKWY, STE 250
LOUISVILLE, KY 40205
Internal Medicine (Nephrology)
6400 DUTCHMANS PKWY, STE 250
LOUISVILLE, KY 40205
Internal Medicine (Nephrology)
6400 DUTCHMANS PKWY, STE 250
LOUISVILLE, KY 40205
Internal Medicine (Nephrology)
6400 DUTCHMANS PKWY, STE 250
LOUISVILLE, KY 40205
Internal Medicine (Nephrology)
6400 DUTCHMANS PKWY, STE 250
LOUISVILLE, KY 40205
Internal Medicine (Nephrology)
6400 DUTCHMANS PKWY, STE 250
LOUISVILLE, KY 40205
Ophthalmology
6400 DUTCHMANS PKWY, SUITE 125
LOUISVILLE, KY 40205
Ophthalmology
6400 DUTCHMANS PKWY, SUITE 125
LOUISVILLE, KY 40205
Ophthalmology
6400 DUTCHMANS PKWY, SUITE 125
LOUISVILLE, KY 40205
Clinic/Center (Ambulatory Surgical)
6400 DUTCHMANS PKWY, SUITE 60
LOUISVILLE, KY 40205
Clinic/Center (Pain)
6400 DUTCHMANS PKWY, SUITE 60
LOUISVILLE, KY 40205

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1164764205, enumerated as an "organization" on March 26, 2013.

The provider is located at 6400 DUTCHMANS PKWY SUITE 250 LOUISVILLE, KY 40205 and the phone number is (502) 587-9660.

Nurse Practitioner with taxonomy code 363L00000X.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.