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COORDINATED KIDNEY CARE GROUP, INC.
NPI 1407044308
Internal Medicine - Nephrology in Kittanning, PA

Active since October 05, 2007CLIA 39D2333098 · Waiver
1 NOLTE DR BLDG 700, KITTANNING, PA 16201(724) 548-1395 Get Directions Write a Review

NPPES record last updated: April 21, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jul 21, 2022, May 26, 2017 (2 updates tracked since 2017).

About Coordinated Kidney Care Group, Inc. NPPES

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

COORDINATED KIDNEY CARE GROUP, INC. (NPI 1407044308) is a healthcare organization registered as a nephrology in Kittanning, Pennsylvania and active in the NPI registry since October 2007. The organization holds a CLIA Waiver certificate valid through October 29, 2027, maintains 5 additional practice locations, and lists C. Ross Betts, Physician, as its authorized official.

NPPES Registry Identity

NPI1407044308
Entity TypeOrganization
Primary Taxonomy207RN0300X
Legal Business NameCOORDINATED KIDNEY CARE GROUP, INC.
Location Address1 NOLTE DR BLDG 700Kittanning, PA 16201-7111
Mailing AddressPo Box 1001Kittanning, PA 16201-5001 · (724) 548-1395 · Fax (724) 548-1396
Phone(724) 548-1395
Organization SubpartNo
Authorized OfficialC. Ross BettsPhysician · (724) 548-1395
Enumeration DateOctober 5, 2007
Last NPPES UpdateApril 21, 20232 updates tracked since enumeration
NPPES CertifiedApril 21, 2023
✔ NPI 1407044308 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 PA · MD045564E
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.
1 NOLTE DR BLDG 700, Kittanning, PA 16201
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Secondary Practice Locations 5

Location 1111 Woody DrButler, PA 16001-7603 · Phone (724) 287-1000 · Fax (724) 548-1396
Location 26945 US 322 Unit 508Cranberry, PA 16319-3126 · Phone (814) 678-1177 · Fax (814) 678-3377
Location 329 E North St Ste 203New Castle, PA 16101-3741 · Phone (724) 856-7055 · Fax (724) 856-7034
Location 422631 Route 68 Ste 450BClarion, PA 16214-4076 · Phone (814) 227-2940 · Fax (814) 678-3377
Location 5218 Oak St Unit 2Grove City, PA 16127-1022 · Phone (724) 264-4700 · Fax (814) 678-3377

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 Health, Ambetter Health of Delaware.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 39D2333098

Coordinated Kidney Care Group · Butler, PA
Active · expires Oct 29, 2027
CLIA Number39D2333098
Laboratory TypePhysician Office
Certificate Effective DateOctober 30, 2025
Certificate Expiration DateOctober 29, 2027
Laboratory DirectorDr. Charles R. Betts
Laboratory Phone(724) 287-1000
Laboratory LocationCoordinated Kidney Care Group111 Woody Dr, Butler, PA 16001
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

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

DR. SMITHA THOMAS-MATHEW M.D
Internal Medicine (Nephrology)
1 NOLTE DR BLDG 700
KITTANNING, PA 16201
Armstrong County (724) 548-1395

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 Coordinated Kidney Care Group, Inc.'s NPI number?

The NPI number for Coordinated Kidney Care Group, Inc. is 1407044308. It was assigned to this organization in the NPPES registry on October 5, 2007.

Where is Coordinated Kidney Care Group, Inc. located?

Coordinated Kidney Care Group, Inc. is located at 1 Nolte Dr Bldg 700, Kittanning, PA 16201. The listed phone number is (724) 548-1395.

What is Coordinated Kidney Care Group, Inc.'s specialty?

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

Does Coordinated Kidney Care Group, Inc. hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 39D2333098) is associated with this NPI, valid through October 29, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Coordinated Kidney Care Group, Inc. accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Buckeye Health Plan list Coordinated Kidney Care Group, Inc. 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 Coordinated Kidney Care Group, Inc. was last updated on April 21, 2023. 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.