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UNIVERSITY KIDNEY CENTER BLUEGRASS LLC
NPI 1790118842
Clinic/Center - End-Stage Renal Disease (ESRD) Treatment in Louisville, KY

Active since August 13, 2013CLIA 18D2063963 · Waiver
1935 BLUEGRASS AVE, SUITE 100, LOUISVILLE, KY 40215(502) 368-5843(502) 368-5846 Get Directions Write a Review

NPPES record last updated: July 17, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jul 17, 2026, Jan 10, 2023, Aug 18, 2022 and 3 more (6 updates tracked since 2017).

About University Kidney Center Bluegrass Llc NPPES

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

UNIVERSITY KIDNEY CENTER BLUEGRASS LLC (NPI 1790118842) is a healthcare organization registered as an end-stage renal disease (esrd) treatment in Louisville, Kentucky and active in the NPI registry since August 2013. The organization holds a CLIA Waiver certificate valid through August 11, 2027 and lists Sara Anne Brady, Chief Nursing Officer, as its authorized official.

NPPES Registry Identity

NPI1790118842
Entity TypeOrganization
Primary Taxonomy261QE0700X
Legal Business NameUNIVERSITY KIDNEY CENTER BLUEGRASS LLC
Location Address1935 BLUEGRASS AVE, SUITE 100Louisville, KY 40215-1191
Mailing Address1935 Bluegrass Ave, Suite 100Louisville, KY 40215-1191 · (502) 368-5843 · Fax (502) 368-5846
Phone(502) 368-5843
Fax(502) 368-5846
Organization SubpartNo
Authorized OfficialSara Anne BradyChief Nursing Officer · (208) 371-7878
Enumeration DateAugust 13, 2013
Last NPPES UpdateJuly 17, 20266 updates tracked since enumeration
NPPES CertifiedJuly 17, 2026
✔ NPI 1790118842 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · End-Stage Renal Disease (ESRD) TreatmentAmbulatory Health Care Facilities
Taxonomy Code261QE0700X
1935 BLUEGRASS AVE, Louisville, KY 40215
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Sunflower Health Plan, Ambetter Health and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment and revalidation status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

University Kidney Center Bluegrass Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by January 31, 2027

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 IDO20131017000294Part A · End-Stage Renal Disease Facility (ESRD)Due dateJanuary 31, 2027
Source: CMS Revalidation Due Date List, October 2026 release.

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 18D2063963

University Kidney Center Bluegrass LLC · Louisville, KY
Active · expires Aug 11, 2027
CLIA Number18D2063963
Laboratory TypeEnd Stage Renal Disease Dialysis Facility
Certificate Effective DateAugust 12, 2025
Certificate Expiration DateAugust 11, 2027
Laboratory DirectorZygimantas C. Alsauskas
Laboratory Phone(502) 368-5843
Laboratory LocationUniversity Kidney Center Bluegrass LLC1935 Bluegrass Avenue, Suite 100 Attn Jason Long, Louisville, KY 40215
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 15

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

DONALD WALTER BENNETT OD MD
Ophthalmology
1935 BLUEGRASS AVE, SUITE 200
LOUISVILLE, KY 40215
Jefferson County (502) 895-0040
LAWRENCE TENKMAN MD
Ophthalmology
1935 BLUEGRASS AVE, SUITE 200
LOUISVILLE, KY 40215
Jefferson County (502) 895-0040
DR. NIKOLAOS CHRISTOS ZAGORIANOS O.D.
Optometrist
1935 BLUEGRASS AVE, SUITE 200
LOUISVILLE, KY 40215
Jefferson County (502) 364-0033
DINA A ENGLISH MSSW, CSW
Social Worker (Clinical)
1935 BLUEGRASS AVE
LOUISVILLE, KY 40215
Jefferson County (502) 589-1100
MOLLY SHAE ISAACS
Optometrist
1935 BLUEGRASS AVE
LOUISVILLE, KY 40215
Jefferson County (502) 364-0033
STEVEN MARK BLOOM MD
Ophthalmology
1935 BLUEGRASS AVE, SUITE 200
LOUISVILLE, KY 40215
Jefferson County (502) 895-0040
THEODORE LUCKEY
Counselor (Addiction (Substance Use Disorder))
1935 BLUEGRASS AVE
LOUISVILLE, KY 40215
Jefferson County (502) 366-0705
DR. FRASER DOUGLAS MCKAY O.D.
Optometrist
1935 BLUEGRASS AVE, SUITE 200
LOUISVILLE, KY 40215
Jefferson County (502) 364-0033

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 University Kidney Center Bluegrass LLC's NPI number?

The NPI number for University Kidney Center Bluegrass LLC is 1790118842. It was assigned to this organization in the NPPES registry on August 13, 2013.

Where is University Kidney Center Bluegrass LLC located?

University Kidney Center Bluegrass LLC is located at 1935 Bluegrass Ave Suite 100, Louisville, KY 40215. The listed phone number is (502) 368-5843.

What is University Kidney Center Bluegrass LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in End-Stage Renal Disease (ESRD) Treatment, with taxonomy code 261QE0700X.

Is University Kidney Center Bluegrass LLC enrolled in Medicare?

Yes. University Kidney Center Bluegrass LLC is registered in the Medicare PECOS enrollment system.

When is University Kidney Center Bluegrass LLC's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Part A enrollment for this organization (Kentucky, End-Stage Renal Disease Facility (ESRD)) is due for revalidation by January 31, 2027. 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.

Does University Kidney Center Bluegrass LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 18D2063963) is associated with this NPI, valid through August 11, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does University Kidney Center Bluegrass LLC accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Arkansas Health & Wellness, Ambetter from Sunflower Health Plan and Ambetter of Oklahoma and 3 other insurers list University Kidney Center Bluegrass 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 University Kidney Center Bluegrass LLC was last updated on July 17, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months 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.