UNIVERSITY KIDNEY CENTER BROADWAY LLC
NPI 1871927293
Clinic/Center - End-Stage Renal Disease (ESRD) Treatment in Louisville, KY

Q: What is University Kidney Center Broadway 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.

Active since August 22, 2013CLIA 18D2063962 · Waiver

2821 WEST BROADWAY, LOUISVILLE, KY 40211(502) 774-8516(502) 774-8518 Get Directions Write a Review

NPPES record last updated: July 17, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jul 17, 2026, Jan 11, 2023, Aug 18, 2022 and 3 more (6 updates tracked since 2017).

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About University Kidney Center Broadway Llc NPPES

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

UNIVERSITY KIDNEY CENTER BROADWAY LLC (NPI 1871927293) 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

NPI1871927293

Entity TypeOrganization

Primary Taxonomy261QE0700X

Legal Business NameUNIVERSITY KIDNEY CENTER BROADWAY LLC

Location Address2821 WEST BROADWAYLouisville, KY 40211-1218

Mailing Address2821 West BroadwayLouisville, KY 40211-1218 · (502) 774-8516 · Fax (502) 774-8518

Phone(502) 774-8516

Fax(502) 774-8518

Organization SubpartNo

Authorized OfficialSara Anne BradyChief Nursing Officer · (208) 371-7878

Enumeration DateAugust 22, 2013

Last NPPES UpdateJuly 17, 20266 updates tracked since enumeration

NPPES CertifiedJuly 17, 2026

✔ NPI 1871927293 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

2821 WEST BROADWAY, Louisville, KY 40211

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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 Broadway 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 IDO20131018000934Part 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 18D2063962

University Kidney Center Broadway LLC · Louisville, KY

Active · expires Aug 11, 2027

CLIA Number18D2063962

Laboratory TypeEnd Stage Renal Disease Dialysis Facility

Certificate Effective DateAugust 12, 2025

Certificate Expiration DateAugust 11, 2027

Laboratory DirectorGunjan A. Garg

Laboratory Phone(502) 774-8516

Laboratory LocationUniversity Kidney Center Broadway LLC2821 West Broadway, Louisville, KY 40211

CLIA data matches this NPI record on: Address Name Phone

This certificate is issued to a laboratory to perform only waived tests.

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 Broadway LLC's NPI number?

The NPI number for University Kidney Center Broadway LLC is 1871927293. It was assigned to this organization in the NPPES registry on August 22, 2013.

Where is University Kidney Center Broadway LLC located?

University Kidney Center Broadway LLC is located at 2821 West Broadway, Louisville, KY 40211. The listed phone number is (502) 774-8516.

What is University Kidney Center Broadway 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 Broadway LLC enrolled in Medicare?

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

When is University Kidney Center Broadway 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 Broadway LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 18D2063962) 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 Broadway 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 Broadway 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 Broadway 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.