KIDNEY DISEASE PROGRAM / LOUISVILLE RENAL DIALYSIS FACILITY
NPI 1629075825
Clinic/Center - End-Stage Renal Disease (ESRD) Treatment in Louisville, KY
Overall Rating: 3 out of 5 stars
NPI Status: Active since July 01, 2005
Contact Information
615 S PRESTON ST
LOUISVILLE, KY
ZIP 40202
Phone: (502) 852-5757
Fax: (502) 852-4039
- Organization
- Clinic/Center
- End-Stage Renal Disease (ESRD) Treatment
- CLIA Number: 18D0648468
- CLIA Cert. Type: Physician Office
- CLIA Exp. Date: 08-31-2026
About KIDNEY DISEASE PROGRAM / LOUISVILLE RENAL DIALYSIS FACILITY
This page provides the complete NPI Profile along with additional information for Kidney Disease Program / Louisville Renal Dialysis Facility, a provider established in Louisville, Kentucky operating as a Clinic/center, focusing in end-stage renal disease (esrd) treatment . The healthcare provider is registered in the NPI registry with number 1629075825 assigned on July 2005. The practitioner's primary taxonomy code is 261QE0700X with license number 182501 (KY). The provider is registered as an organization and their NPI record was last updated 15 years ago. The provider's is doing business as Kidney Disease Program / Louisville Renal Dialysis Facility. The authorized official of this NPI record is Dr. Eleanor D Lederer M.d. (Chief, Division Of Nephrology)
- NPI
- 1629075825
- Provider Legal Name
- UNIVERSITY OF LOUISVILLE RESEARCH FOUNDATION, INC
- Other Organization Name
- KIDNEY DISEASE PROGRAM / LOUISVILLE RENAL DIALYSIS FACILITY
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 615 S PRESTON ST LOUISVILLE, KY 40202
- Location Phone
- (502) 852-5757
- Location Fax
- (502) 852-4039
- Mailing Address
- 615 S PRESTON ST LOUISVILLE, KY 40202
- Mailing Phone
- (502) 852-5757
- Mailing Fax
- (502) 852-4039
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 07-01-2005
- Last Update Date
- 10-07-2011
- Code Navigator
According to the Dialysis Facility Compare program data, Kidney Disease Program / Louisville Renal Dialysis Facility has an average overall quality rating based on the patient's quality of care based on data that dialysis centers report to Medicare. The Quality of Patient Star Rating for this facility is 3 out of 5 stars.
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Clinic/Center End-Stage Renal Disease (ESRD) Treatment
- Taxonomy Code
- 261QE0700X
- Type
- Ambulatory Health Care Facilities
- License No.
- 182501
- License State
- KY
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 350 | OTHER (01) | KY | BLUE CROSS NUMBER |
| 182501 | MEDICARE ID-TYPE UNSPECIFIED (04) | KY | MEDICARE ID NUMBER |
| 39090030 | MEDICAID (05) | KY | |
| 004541476 | OTHER (01) | KY | AETNA PROVIDER # |
| 000000112462 | OTHER (01) | KY | BCBS 12 DIGIT PROVIDER # |
| 000003108H | OTHER (01) | KY | HUMANA HEALTH CARE NUMBER |
| 100003040A | OTHER (01) | IN | INDIANA MEDICAID |
| 5416V4981 | OTHER (01) | KY | AHDS PROVIDER # |
| 50001023 | MEDICAID (05) | KY |
Dialysis Facility Compare Information
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 18D0648468
- Facility Type
- Physician Office
- Certificate Effective Date
- September 01, 2024
- Certificate Expiration Date
- August 31, 2026
- Laboratory Director
- DR. ROSEMARY OUSEPH
- Certificate Type
- Certificate for Provider-Performed Microscopy Procedures (PPMP)
- Certificate Type Description
- This CLIA certificate is issued to Kidney Disease Program / Louisville Renal Dialysis Facility in which a physician, midlevel practitioner or dentist that performs specific microscopy procedures during the course of a patient's visit. A limited list of provider-performed microscopy procedures is included under this certificate type, which are categorized as moderate complexity testing.
Reviews for KIDNEY DISEASE PROGRAM / LOUISVILLE RENAL DIALYSIS FACILITY
There are currently no reviews for this provider. Be the first person to share your experience with this provider by filling out our review form. Your insights are appreciated and will help others make informed decisions.
NPI NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1629075825, we treat the final digit (5) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 65. The final step is to find the difference between that total and the next multiple of ten (70 - 65 = 5).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 65 is 70. The difference is the calculated check digit.
Other Providers at the Same Location
The following 20 providers are registered at the same or a nearby location.
LOUISVILLE, KY 40202
LOUISVILLE, KY 40202
LOUISVILLE, KY 40202
LOUISVILLE, KY 40202
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1629075825, enumerated as an "organization" on July 01, 2005.
The provider is located at 615 S PRESTON ST LOUISVILLE, KY 40202 and the phone number is (502) 852-5757.
Clinic/Center with taxonomy code 261QE0700X and a focus in End-Stage Renal Disease (ESRD) Treatment.
The provider might be accepting Accepts: Blue Cross Blue Shield, Medicare, Medicaid, Aetna. Please consult your insurance carrier or call the provider to verify.
