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KIDNEY SPECIALISTS OF PADUCAH PLLC
NPI 1740765957
Internal Medicine - Nephrology in Paducah, KY

Active since October 03, 2018
1532 LONE OAK RD STE 315, PADUCAH, KY 42003(270) 538-5880(270) 538-5870 Get Directions Write a Review

NPPES record last updated: December 8, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Dec 8, 2023, Sep 30, 2020, Oct 3, 2018 (3 updates tracked since 2018).

About Kidney Specialists Of Paducah Pllc NPPES

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

KIDNEY SPECIALISTS OF PADUCAH PLLC (NPI 1740765957) is a healthcare organization registered as a nephrology in Paducah, Kentucky and active in the NPI registry since October 2018. The organization lists Shaukat Ali, Member, as its authorized official.

NPPES Registry Identity

NPI1740765957
Entity TypeOrganization
Primary Taxonomy207RN0300X
Legal Business NameKIDNEY SPECIALISTS OF PADUCAH PLLC
Location Address1532 LONE OAK RD STE 315Paducah, KY 42003-7942
Mailing Address1532 Lone Oak Rd Ste 315Paducah, KY 42003-7942 · (270) 538-5880 · Fax (270) 538-5870
Phone(270) 538-5880
Fax(270) 538-5870
Organization SubpartNo
Authorized OfficialShaukat AliMember · (270) 538-5880
Enumeration DateOctober 3, 2018
Last NPPES UpdateDecember 8, 20233 updates tracked since enumeration
NPPES CertifiedDecember 8, 2023
✔ NPI 1740765957 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ 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.
Also ListedNurse PractitionerTaxonomy 363L00000X
Also ListedClinical Nurse Specialist · Adult HealthTaxonomy 364SA2200X
1532 LONE OAK RD STE 315, Paducah, KY 42003
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-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 and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kidney Specialists Of Paducah Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

8

Medicare enrollment records show 8 clinicians reassign Medicare billing to Kidney Specialists Of Paducah PLLC, which bills Medicare for the services they deliver. Of these, 6 practice at this address. They are listed nearest first.

Clinicians, nearest first (8)

Shaukat Ali, M.D.
Internal Medicine
NPI 1700956844
1532 LONE OAK RD SUITE 315
Paducah, KY 42003
(270) 538-5880
✔ PECOS✔ Accepts MedicareSame address
Laura Kelso, FNP-BC
Nurse Practitioner
NPI 1356664262
1532 LONE OAK RD SUITE 315
Paducah, KY 42003
(270) 538-5880
✔ PECOS✔ Accepts MedicareSame address
Anna Stewart, APRN
Nurse Practitioner
NPI 1942535497
1532 LONE OAK RD SUITE 315
Paducah, KY 42003
(270) 538-5880
✔ PECOS✔ Accepts MedicareSame address
Jonathan Wilkerson, M.D.
Nephrology
NPI 1235326737
1532 LONE OAK RD SUITE 315
Paducah, KY 42003
(270) 538-5880
✔ PECOS✔ Accepts MedicareSame address
Lance Williamson, APRN
Nurse Practitioner
NPI 1114285723
1532 LONE OAK RD SUITE 315
Paducah, KY 42003
(270) 538-5880
✔ PECOS✔ Accepts MedicareSame address
Leanna Hopkins, CNP
Nurse Practitioner
NPI 1558222661
1532 LONE OAK RD STE 315
Paducah, KY 42003
(270) 538-5880
✔ PECOS✔ Accepts MedicareSame address
Jacques Youssef, M.D.
Nephrology
NPI 1699963835
300 S 8TH ST 282W
Murray, KY 42071
(270) 538-5880
✔ PECOS✔ Accepts Medicare35 mi
Terri Booth, NP
Nurse Practitioner
NPI 1720263841
1323 E WOOD ST STE 400
Paris, TN 38242
(731) 641-8754
✔ PECOS✔ Accepts Medicare55 mi

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 Kidney Specialists Of Paducah PLLC's NPI number?

The NPI number for Kidney Specialists Of Paducah PLLC is 1740765957. It was assigned to this organization in the NPPES registry on October 3, 2018.

Where is Kidney Specialists Of Paducah PLLC located?

Kidney Specialists Of Paducah PLLC is located at 1532 Lone Oak Rd Ste 315, Paducah, KY 42003. The listed phone number is (270) 538-5880.

What is Kidney Specialists Of Paducah PLLC's specialty?

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

Is Kidney Specialists Of Paducah PLLC enrolled in Medicare?

Yes. Kidney Specialists Of Paducah PLLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Kidney Specialists Of Paducah PLLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 8 clinicians in 3 Medicare specialties reassign their Medicare billing to Kidney Specialists Of Paducah PLLC. 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 (5), Nephrology (2) and Internal Medicine (1). Of these, 6 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Kidney Specialists Of Paducah PLLC accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Buckeye Health Plan, Ambetter of Tennessee and Anthem Blue Cross and Blue Shield and 1 other insurer list Kidney Specialists Of Paducah PLLC 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 Kidney Specialists Of Paducah PLLC was last updated on December 8, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.