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FLORIDA KIDNEY PHYSICIANS, LLC
NPI 1770155830
Internal Medicine - Nephrology in Jacksonville, FL

Active since July 16, 2021CLIA 10D2301146 · Waiver
2585 HERSCHEL ST, JACKSONVILLE, FL 32204(904) 388-2678(904) 388-6776 Get Directions Write a Review

NPPES record last updated: July 16, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Florida Kidney Physicians, Llc NPPES

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

FLORIDA KIDNEY PHYSICIANS, LLC (NPI 1770155830) 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 March 20, 2028, maintains 6 additional practice locations, and lists Maria Elena Rivera, Credentialing Supervisor, as its authorized official.

NPPES Registry Identity

NPI1770155830
Entity TypeOrganization
Primary Taxonomy207RN0300X
Legal Business NameFLORIDA KIDNEY PHYSICIANS, LLC
Location Address2585 HERSCHEL STJacksonville, FL 32204-4557
Mailing Address12662 Telecom DrTemple Terrace, FL 33637-0935 · (813) 910-0030 · Fax (813) 971-6473
Phone(904) 388-2678
Fax(904) 388-6776
Organization SubpartYes
Authorized OfficialMaria Elena RiveraCredentialing Supervisor · (480) 610-6100
Enumeration DateJuly 16, 2021
NPPES CertifiedJune 21, 2021
✔ NPI 1770155830 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.
2585 HERSCHEL ST, Jacksonville, FL 32204
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Secondary Practice Locations 6

Location 17200 Normandy Blvd Ste 20Jacksonville, FL 32205-6271 · Phone (904) 388-2678 · Fax (904) 388-6776
Location 21201 Monument Rd Ste 301Jacksonville, FL 32225-6494 · Phone (904) 388-2678 · Fax (904) 388-6776
Location 311236 Baptist Health DrJacksonville, FL 32218-2980 · Phone (904) 388-2678 · Fax (904) 388-6776
Location 4905 Beach Blvd Ste BJacksonville, FL 32250-4303 · Phone (904) 388-2678 · Fax (904) 388-6776
Location 58245 Bayberry RdJacksonville, FL 32256-7432 · Phone (904) 388-2678 · Fax (904) 388-6776
Location 65730 Bowden Rd, Suite 110Bowden, FL 33216 · Phone (904) 388-2678 · Fax (904) 388-6776

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 10D2301146

Florida Kidney Physicians, LLC · Riverview, FL
Active · expires Mar 20, 2028
CLIA Number10D2301146
Laboratory TypePhysician Office
Certificate Effective DateMarch 21, 2026
Certificate Expiration DateMarch 20, 2028
Laboratory DirectorShyam Uttamchandani
Laboratory Phone(813) 910-0030
Laboratory LocationFlorida Kidney Physicians, LLC3140 S Falkenburg Rd - Ste 201, Riverview, FL 33578
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 9

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

PRASANTH KRISH M.D.
Internal Medicine (Nephrology)
2585 HERSCHEL ST
JACKSONVILLE, FL 32204
Duval County (904) 388-2678
DR. NILAY NAHAR M.D.
Internal Medicine (Nephrology)
2585 HERSCHEL ST
JACKSONVILLE, FL 32204
Duval County (904) 388-2678
PERRI SCHELLENBERG MS, RDN, LDN
Dietitian, Registered
2585 HERSCHEL ST
JACKSONVILLE, FL 32204
Duval County (904) 388-2678
DR. VAN SHANTHARAM M.D.
Specialist
2585 HERSCHEL ST
JACKSONVILLE, FL 32204
Duval County (904) 388-2678
DR. SHAUN MAGBUHAT AURE M.D.
Internal Medicine (Nephrology)
2585 HERSCHEL ST
JACKSONVILLE, FL 32204
Duval County (904) 388-2678
DR. DINESH JAYADEVAPPA M.D.
Internal Medicine (Nephrology)
2585 HERSCHEL ST
JACKSONVILLE, FL 32204
Duval County (904) 388-2678
CLINIC FOR KIDNEY DISEASES PA
Internal Medicine (Nephrology)
2585 HERSCHEL ST
JACKSONVILLE, FL 32204
Duval County (904) 388-2678
DR. BRIJENDRA K GUPTA M.D.
Internal Medicine (Nephrology)
2585 HERSCHEL ST
JACKSONVILLE, FL 32204
Duval County (904) 388-2678

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 1770155830. It was assigned to this organization in the NPPES registry on July 16, 2021.

Where is Florida Kidney Physicians, LLC located?

Florida Kidney Physicians, LLC is located at 2585 Herschel St, Jacksonville, FL 32204. 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 10D2301146) is associated with this NPI, valid through March 20, 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 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.