FLORIDA KIDNEY PHYSICIANS, LLC
NPI 1508439142
Internal Medicine - Nephrology in Jacksonville, FL

Q: What is Florida Kidney Physicians, LLC's NPI number?

The NPI number for Florida Kidney Physicians, LLC is 1508439142. It was assigned to this organization in the NPPES registry on July 21, 2021.

Q: What is Florida Kidney Physicians, LLC's specialty?

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

Active since July 21, 2021CLIA 10D2344787 · Waiver

5730 BOWDEN RD STE 110, JACKSONVILLE, FL 32216(904) 388-2678(904) 388-6776 Get Directions Write a Review

NPPES record last updated: July 21, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Florida Kidney Physicians, Llc NPPES

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

FLORIDA KIDNEY PHYSICIANS, LLC (NPI 1508439142) is a healthcare organization registered as a nephrology in Jacksonville, Florida and active in the NPI registry since July 2021. The organization holds a CLIA Waiver certificate valid through May 28, 2028 and lists Maria Elena Rivera, Credentialing Manager, as its authorized official.

NPPES Registry Identity

NPI1508439142

Entity TypeOrganization

Primary Taxonomy207RN0300X

Legal Business NameFLORIDA KIDNEY PHYSICIANS, LLC

Location Address5730 BOWDEN RD STE 110Jacksonville, FL 32216-6174

Mailing Address5730 Bowden Rd Ste 110Jacksonville, FL 32216-6174 · (904) 388-2678 · Fax (904) 388-6776

Phone(904) 388-2678

Fax(904) 388-6776

Organization SubpartNo

Authorized OfficialMaria Elena RiveraCredentialing Manager · (480) 610-6100

Enumeration DateJuly 21, 2021

NPPES CertifiedJuly 21, 2021

✔ NPI 1508439142 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · NephrologyAllopathic & Osteopathic Physicians

Taxonomy Code207RN0300X

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.

5730 BOWDEN RD STE 110, Jacksonville, FL 32216

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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 Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company).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 10D2344787

Florida Kidney Physicians LLC · Jacksonville, FL

Active · expires May 28, 2028

CLIA Number10D2344787

Laboratory TypePhysician Office

Certificate Effective DateMay 29, 2026

Certificate Expiration DateMay 28, 2028

Laboratory DirectorKrish Prasanth

Laboratory Phone(904) 388-2678

Laboratory LocationFlorida Kidney Physicians LLC905 Beach Blvd Suite B, Jacksonville, FL 32250

CLIA data matches this NPI record on: 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.

BIO-MEDICAL APPLICATIONS OF FLORIDA, INC.

Clinic/Center (End-Stage Renal Disease (ESRD) Treatment)

5730 BOWDEN RD STE 110
JACKSONVILLE, FL 32216

Duval County (904) 419-0273

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 Florida Kidney Physicians, LLC's NPI number?

The NPI number for Florida Kidney Physicians, LLC is 1508439142. It was assigned to this organization in the NPPES registry on July 21, 2021.

Where is Florida Kidney Physicians, LLC located?

Florida Kidney Physicians, LLC is located at 5730 Bowden Rd Ste 110, Jacksonville, FL 32216. The listed phone number is (904) 388-2678.

What is Florida Kidney Physicians, LLC's specialty?

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

Does Florida Kidney Physicians, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 10D2344787) is associated with this NPI, valid through May 28, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Florida Kidney Physicians, LLC accept?

Health plans from Florida Blue (BlueCross BlueShield FL) and Florida Blue HMO (a BlueCross BlueShield FL company) list Florida Kidney Physicians, 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 Florida Kidney Physicians, LLC was last updated on July 21, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.