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JACKSONVILLE KIDNEY CENTER LLC
NPI 1255647491
Internal Medicine - Nephrology in Jacksonville, FL

Active since August 25, 2010
13241 BARTRAM PARK BLVD UNIT 409, JACKSONVILLE, FL 32258(904) 400-6800 Get Directions Write a Review

NPPES record last updated: December 8, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Jacksonville Kidney Center Llc NPPES

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

JACKSONVILLE KIDNEY CENTER LLC (NPI 1255647491) is a healthcare organization registered as a nephrology in Jacksonville, Florida and active in the NPI registry since August 2010. The organization lists Koteswari Kancha, President, as its authorized official.

NPPES Registry Identity

NPI1255647491
Entity TypeOrganization
Primary Taxonomy207RN0300X
Legal Business NameJACKSONVILLE KIDNEY CENTER LLC
Location Address13241 BARTRAM PARK BLVD UNIT 409Jacksonville, FL 32258-5237
Mailing Address10036 Deercreek Club Rd EJacksonville, FL 32256-1457 · (904) 402-5137
Phone(904) 400-6800
Organization SubpartNo
Authorized OfficialKoteswari KanchaPresident · (904) 647-8207
Enumeration DateAugust 25, 2010
Last NPPES UpdateDecember 8, 2016
✔ NPI 1255647491 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · NephrologyAllopathic & Osteopathic Physicians
Taxonomy Code207RN0300X
License✔ Licensed in FL · ME 98954
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.
13241 BARTRAM PARK BLVD UNIT 409, Jacksonville, FL 32258
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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 Superior HealthPlan, Ambetter Health, Ambetter of Alabama.Insurance ›

Other Providers at the Same Location NPPES

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

KOTESWARI KANCHA MD
Internal Medicine (Nephrology)
13241 BARTRAM PARK BLVD UNIT 409
JACKSONVILLE, FL 32258
Duval County (904) 400-6800

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 Jacksonville Kidney Center LLC's NPI number?

The NPI number for Jacksonville Kidney Center LLC is 1255647491. It was assigned to this organization in the NPPES registry on August 25, 2010.

Where is Jacksonville Kidney Center LLC located?

Jacksonville Kidney Center LLC is located at 13241 Bartram Park Blvd Unit 409, Jacksonville, FL 32258. The listed phone number is (904) 400-6800.

What is Jacksonville Kidney Center LLC's specialty?

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

What insurance does Jacksonville Kidney Center LLC accept?

Health plans from Ambetter Health, Ambetter from Superior HealthPlan and Ambetter of Alabama list Jacksonville Kidney Center 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 Jacksonville Kidney Center LLC was last updated on December 8, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.