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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: August 23, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 23, 2022, Aug 22, 2020 (2 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, 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
Phone(334) 269-0212
Fax(334) 269-2144
Organization SubpartNo
Authorized OfficialRafael A. LopezOwner/partner · (334) 269-0212
Enumeration DateAugust 31, 2006
Last NPPES UpdateAugust 23, 20222 updates tracked since enumeration
NPPES CertifiedAugust 23, 2022
✔ 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
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Other Names 2

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

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 Magnolia Health, Ambetter Health, Ambetter of Alabama 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 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.

Other Providers at the Same Location NPPES 8

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

MS. SHAWONA CANNON DANIEL CRNP
Nurse Practitioner (Adult Health)
2034 CHESTNUT ST
MONTGOMERY, AL 36106
Montgomery County (334) 269-0212
MICHAEL H. BRODER D.O.
Specialist
2034 CHESTNUT ST
MONTGOMERY, AL 36106
Montgomery County (334) 269-0212
CHARLES EDWIN THOMAS M.D.
Internal Medicine (Nephrology)
2034 CHESTNUT ST
MONTGOMERY, AL 36106
Montgomery County (334) 269-0212
LISA ANN TURNER CRNP
Nurse Practitioner (Family)
2034 CHESTNUT ST
MONTGOMERY, AL 36106
Montgomery County (334) 269-0212
DR. APOORV DEOTARE MD
Internal Medicine (Nephrology)
2034 CHESTNUT ST
MONTGOMERY, AL 36106
Montgomery County (334) 269-0212
MELISSA RENA HILL CRNP
Nurse Practitioner (Family)
2034 CHESTNUT ST
MONTGOMERY, AL 36106
Montgomery County (334) 269-0212
RAFAEL A LOPEZ M.D.
Specialist
2034 CHESTNUT ST
MONTGOMERY, AL 36106
Montgomery County (334) 269-0212
DR. JOGY VARGHESE M.D.
Internal Medicine (Nephrology)
2034 CHESTNUT ST
MONTGOMERY, AL 36106
Montgomery County (334) 269-0212

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.

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 from Magnolia 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 August 23, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.