NEPHROLOGY ASSOCIATES OF KENTUCKIANA PSC
NPI 1730161753
Internal Medicine - Nephrology in Louisville, KY

Active since November 16, 2005
6400 DUTCHMANS PKWY, SUITE 250, LOUISVILLE, KY 40205(502) 587-9660(502) 540-5615 Get Directions Write a Review

NPPES record last updated: August 16, 2021. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Nephrology Associates Of Kentuckiana Psc NPPES

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

NEPHROLOGY ASSOCIATES OF KENTUCKIANA PSC (NPI 1730161753) is a healthcare organization registered as a nephrology in Louisville, Kentucky and active in the NPI registry since November 2005. The organization lists Debra Lynn Roos, Billing Office Manager, as its authorized official.

NPPES Registry Identity

NPI1730161753
Entity TypeOrganization
Primary Taxonomy207RN0300X
Legal Business NameNEPHROLOGY ASSOCIATES OF KENTUCKIANA PSC
Location Address6400 DUTCHMANS PKWY, SUITE 250Louisville, KY 40205-3354
Mailing Address6400 Dutchmans Pkwy, Suite 250Louisville, KY 40205-3354 · (502) 587-9660 · Fax (502) 540-5615
Fax(502) 540-5615
Organization SubpartNo
Authorized OfficialDebra Lynn RoosBilling Office Manager · (502) 587-9660
Enumeration DateNovember 16, 2005
Last NPPES UpdateAugust 16, 2021
NPPES CertifiedAugust 16, 2021
✔ NPI 1730161753 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.
6400 DUTCHMANS PKWY, Louisville, KY 40205

Other Identifiers 6

Medicaid100076180AIN
Medicaid1050694KY
Other163655200KY · Dept Of Labor Group #
Other3800KY · Anthem Group Number
Medicaid65905416KY
Medicaid7100237180KY

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

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Nephrology Associates Of Kentuckiana Psc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by November 30, 2026

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StateKentuckyEnrollment IDO20040204000026Non-DME Part B · Clinic/Group PracticeDue dateNovember 30, 2026
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

59

Medicare enrollment records show 59 clinicians reassign Medicare billing to Nephrology Associates Of Kentuckiana Psc, which bills Medicare for the services they deliver. Of these, 34 practice at this address and 47 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 3

Nurse Practitioner29
Nephrology27
Internal Medicine3

Nearest to this location (20)

See all 59
Nephrology
NPI 1487979456
6400 DUTCHMANS PKWY STE 250
Louisville, KY 40205
(502) 587-9660
✔ PECOS✔ Accepts MedicareSame address
Nephrology
NPI 1972505030
6400 DUTCHMANS PKWY STE 250
Louisville, KY 40205
(502) 587-9660
✔ PECOS✔ Accepts MedicareSame address
Nephrology
NPI 1922271089
6400 DUTCHMANS PARKWAY SUITE 250
Louisville, KY 40205
(502) 587-9660
✔ PECOS✔ Accepts MedicareSame address
Nephrology
NPI 1952333908
6400 DUTCHMANS PKWY STUITE 250
Louisville, KY 40205
(502) 587-9660
✔ PECOS✔ Accepts MedicareSame address
Nephrology
NPI 1013151968
6400 DUTCHMANS PKWY STE 250
Louisville, KY 40205
(502) 587-9660
✔ PECOS✔ Accepts MedicareSame address
Nephrology
NPI 1578672507
6400 DUTCHMANS PKWY SUITE 250
Louisville, KY 40205
(502) 587-9660
✔ PECOS✔ Accepts MedicareSame address
Nephrology
NPI 1376545327
6400 DUTCHMANS PKWY STE 250
Louisville, KY 40205
(502) 587-9660
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1073912309
6400 DUTCHMANS PKWY SUITE 250
Louisville, KY 40205
(502) 587-9660
✔ PECOS✔ Accepts MedicareSame address
Nephrology
NPI 1366446213
6400 DUTCHMANS PKWY STE 250
Louisville, KY 40205
(502) 587-9660
✔ PECOS✔ Accepts MedicareSame address
Nephrology
NPI 1508386764
6400 DUTCHMANS PKWY STE 250
Louisville, KY 40205
(502) 587-9660
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1750750352
6400 DUTCHMANS PKWY SUITE 250
Louisville, KY 40205
(502) 587-9660
✔ PECOS✔ Accepts MedicareSame address
Nephrology
NPI 1710103080
6400 DUTCHMANS PKWY STE 250
Louisville, KY 40205
(502) 587-9660
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1891303319
6400 DUTCHMANS PKWY STE 250
Louisville, KY 40205
(502) 587-9660
✔ PECOSSame address
Nurse Practitioner
NPI 1740477223
6400 DUTCHMANS PKWY SUITE 250
Louisville, KY 40205
(502) 587-9660
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1235542747
6400 DUTCHMANS PKWY STE 250
Louisville, KY 40205
(502) 587-9660
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1639763956
6400 DUTCHMANS PKWY STE 250
Louisville, KY 40205
(502) 587-9660
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1306499199
6400 DUTCHMANS PKWY STE 250
Louisville, KY 40205
(502) 587-9660
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1720785710
6400 DUTCHMANS PKWY STE 250
Louisville, KY 40205
(502) 587-9660
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1447006085
6400 DUTCHMANS PKWY
Louisville, KY 40205
(502) 587-9660
✔ PECOS✔ Accepts MedicareSame address
Internal Medicine
NPI 1962748541
6400 DUTCHMANS PKWY STE 250
Louisville, KY 40205
(502) 587-9660
✔ PECOS✔ Accepts MedicareSame address
See all 59 clinicians

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

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 Nephrology Associates Of Kentuckiana Psc's NPI number?

The NPI number for Nephrology Associates Of Kentuckiana Psc is 1730161753. It was assigned to this organization in the NPPES registry on November 16, 2005.

Where is Nephrology Associates Of Kentuckiana Psc located?

Nephrology Associates Of Kentuckiana Psc is located at 6400 Dutchmans Pkwy Suite 250, Louisville, KY 40205. The listed phone number is (502) 587-9660.

What is Nephrology Associates Of Kentuckiana Psc's specialty?

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

Is Nephrology Associates Of Kentuckiana Psc enrolled in Medicare?

Yes. Nephrology Associates Of Kentuckiana Psc is registered in the Medicare PECOS enrollment system.

When is Nephrology Associates Of Kentuckiana Psc's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Kentucky, Clinic/Group Practice) is due for revalidation by November 30, 2026. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

How many clinicians bill Medicare through Nephrology Associates Of Kentuckiana Psc?

According to the CMS Revalidation Reassignment List (October 2026 release), 59 clinicians in 3 Medicare specialties reassign their Medicare billing to Nephrology Associates Of Kentuckiana Psc. 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 Nurse Practitioner (29), Nephrology (27) and Internal Medicine (3). Of these, 34 practice at this address and 47 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Nephrology Associates Of Kentuckiana Psc accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian and Anthem Blue Cross and Blue Shield list Nephrology Associates Of Kentuckiana Psc 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 Nephrology Associates Of Kentuckiana Psc was last updated on August 16, 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.