Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

MONTGOMERY KIDNEY SPECIALISTS, LLP
NPI 1356452403
Specialist in Montgomery, AL

Active since August 31, 2006CLIA 01D0693345 · Microscopy
2034 CHESTNUT ST, MONTGOMERY, AL 36106(334) 269-0212(334) 269-2144 Get Directions Write a Review

NPPES record last updated: October 7, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Oct 7, 2026, Aug 23, 2022, Aug 22, 2020 (3 updates tracked since 2020).

About Montgomery Kidney Specialists, Llp NPPES

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

MONTGOMERY KIDNEY SPECIALISTS, LLP (NPI 1356452403), doing business as Montgomery Kidney Specialists Of Selma, is a healthcare organization registered as a specialist in Montgomery, Alabama and active in the NPI registry since August 2006. The organization holds a CLIA Microscopy certificate valid through December 22, 2027 and lists Rafael A. Lopez, Owner/partner, as its authorized official.

NPPES Registry Identity

NPI1356452403
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NameMONTGOMERY KIDNEY SPECIALISTS, LLP
Location Address2034 CHESTNUT STMontgomery, AL 36106-1111
Mailing Address2034 Chestnut StMontgomery, AL 36106-1111 · (334) 269-0212 · Fax (334) 269-2144
Fax(334) 269-2144
Organization SubpartNo
Authorized OfficialRafael A. LopezOwner/partner · (334) 269-0212
Enumeration DateAugust 31, 2006
Last NPPES UpdateOctober 7, 20263 updates tracked since enumeration
NPPES CertifiedOctober 7, 2026
✔ NPI 1356452403 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
2034 CHESTNUT ST, Montgomery, AL 36106

Other Names 2

Doing Business AsMontgomery Kidney Specialists Of Selma
Former Legal Business NameMontgomery Kidney Specialists

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Montgomery Kidney Specialists, Llp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

12

Medicare enrollment records show 12 clinicians reassign Medicare billing to Montgomery Kidney Specialists, LLP, which bills Medicare for the services they deliver. Of these, 6 practice at this address and 9 within 10 miles. They are listed nearest first.

Clinicians by Medicare Specialty 3

Nephrology6
Nurse Practitioner5
Emergency Medicine1

Clinicians, nearest first (12)

Nephrology
NPI 1205414554
2034 CHESTNUT ST
Montgomery, AL 36106
(334) 531-9794
✔ PECOS✔ Accepts MedicareSame address
Nephrology
NPI 1700890936
2034 CHESTNUT ST
Montgomery, AL 36106
(334) 269-0212
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1366838096
2034 CHESTNUT ST
Montgomery, AL 36106
(334) 269-0212
✔ PECOS✔ Accepts MedicareSame address
Nephrology
NPI 1841380284
2034 CHESTNUT ST
Montgomery, AL 36106
(334) 269-0212
✔ PECOS✔ Accepts MedicareSame address
Nephrology
NPI 1487149134
2034 CHESTNUT ST
Montgomery, AL 36106
(334) 269-0212
✔ PECOS✔ Accepts MedicareSame address
Emergency Medicine
NPI 1205916590
2034 CHESTNUT ST
Montgomery, AL 36106
(334) 269-0212
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1891157780
4145 CARMICHAEL RD
Montgomery, AL 36106
(334) 273-7000
✔ PECOS✔ Accepts Medicare2.7 mi
Nurse Practitioner
NPI 1225929144
3513 WOODHILL RD
Montgomery, AL 36109
(334) 538-6399
✔ PECOS2.8 mi
Nurse Practitioner
NPI 1376022376
2119 E SOUTH BLVD STE 200
Montgomery, AL 36116
(334) 747-7070
✔ PECOS✔ Accepts Medicare5.5 mi
Nurse Practitioner
NPI 1396410866
213 LIGHTWOOD RD STE 1
Deatsville, AL 36022
(334) 543-4164
✔ PECOS✔ Accepts Medicare19 mi
10 MEMORIAL MEDICAL DR
Greenville, SC 29605
(864) 220-1200
✔ PECOS✔ Accepts Medicare279 mi
Nephrology
NPI 1295197705
320 E NORTH AVE
Pittsburgh, PA 15212
(412) 359-3319
✔ PECOS✔ Accepts Medicare660 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 for Provider-Performed Microscopy Procedures (PPMP) 01D0693345

Montgomery Kidney Specialists · Montgomery, AL
Active · expires Dec 22, 2027
CLIA Number01D0693345
Laboratory TypePhysician Office
Certificate Effective DateDecember 23, 2025
Certificate Expiration DateDecember 22, 2027
Laboratory DirectorLuis F. Ardon MD
Laboratory Phone(334) 269-0212
Laboratory LocationMontgomery Kidney Specialists2034 Chestnut St, Montgomery, AL 36106
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

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 Montgomery Kidney Specialists, LLP's NPI number?

The NPI number for Montgomery Kidney Specialists, LLP is 1356452403. It was assigned to this organization in the NPPES registry on August 31, 2006. The provider is doing business as Montgomery Kidney Specialists of Selma. The provider was formerly known as Montgomery Kidney Specialists.

Where is Montgomery Kidney Specialists, LLP located?

Montgomery Kidney Specialists, LLP is located at 2034 Chestnut St, Montgomery, AL 36106. The listed phone number is (334) 269-0212.

What is Montgomery Kidney Specialists, LLP's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Is Montgomery Kidney Specialists, LLP enrolled in Medicare?

Yes. Montgomery Kidney Specialists, LLP is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Montgomery Kidney Specialists, LLP?

According to the CMS Revalidation Reassignment List (October 2026 release), 12 clinicians in 3 Medicare specialties reassign their Medicare billing to Montgomery Kidney Specialists, LLP. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Nephrology (6), Nurse Practitioner (5) and Emergency Medicine (1). Of these, 6 practice at this address and 9 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Montgomery Kidney Specialists, LLP hold a CLIA laboratory certificate?

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 01D0693345) is associated with this NPI, valid through December 22, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Montgomery Kidney Specialists, LLP accept?

Health plans from Ambetter Health, Ambetter of Alabama and Ambetter of Tennessee list Montgomery Kidney Specialists, LLP 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 Montgomery Kidney Specialists, LLP was last updated on October 7, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 days 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.