KIDNEY CARE CLINIC PLLC
NPI 1932779170
Internal Medicine - Nephrology in Cookeville, TN
About Kidney Care Clinic Pllc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KIDNEY CARE CLINIC PLLC (NPI 1932779170) is a healthcare organization registered as a nephrology in Cookeville, Tennessee and active in the NPI registry since June 2021. The organization lists Zaid Brifkani, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 3
Other Identifiers 1
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)
Kidney Care Clinic Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date
Revalidation due by October 31, 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.
Clinicians Billing Medicare Through This Organization
11Medicare enrollment records show 11 clinicians reassign Medicare billing to Kidney Care Clinic PLLC, which bills Medicare for the services they deliver. Of these, 4 practice at this address and 5 within 10 miles. They are listed nearest first.
Clinicians by Medicare Specialty 3
Clinicians, nearest first (11)
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 Care Clinic PLLC's NPI number?
The NPI number for Kidney Care Clinic PLLC is 1932779170. It was assigned to this organization in the NPPES registry on June 29, 2021.
Where is Kidney Care Clinic PLLC located?
Kidney Care Clinic PLLC is located at 427 N Willow Ave Ste C, Cookeville, TN 38501. The listed phone number is (931) 650-0076.
What is Kidney Care Clinic PLLC's specialty?
The primary specialty registered for this NPI is Internal Medicine, specializing in Nephrology, with taxonomy code 207RN0300X.
Is Kidney Care Clinic PLLC enrolled in Medicare?
Yes. Kidney Care Clinic PLLC is registered in the Medicare PECOS enrollment system.
When is Kidney Care Clinic PLLC'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 (Tennessee, Clinic/Group Practice) is due for revalidation by October 31, 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 Kidney Care Clinic PLLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 11 clinicians in 3 Medicare specialties reassign their Medicare billing to Kidney Care Clinic 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 Nephrology (7), Nurse Practitioner (3) and Registered Dietitian or Nutrition Professional (1). Of these, 4 practice at this address and 5 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Kidney Care Clinic PLLC was last updated on October 8, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 days 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.
# Kidney Care Clinic Pllc · NPI 1932779170
Nephrology organization in Cookeville, Tennessee. Organization record, active in the CMS NPPES registry since June 29, 2021.
## Identity
- **NPI:** 1932779170 (Entity type: Organization)
- **Enumerated:** June 29, 2021
- **Primary specialty:** Internal Medicine - Nephrology · taxonomy 207RN0300X
- **Organization subpart:** No
- **Authorized official:** Zaid Brifkani, OWNER
## Practice location
- **Address:** 427 N WILLOW AVE STE C, Cookeville, TN 38501-2354
- **Phone:** (931) 650-0076
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** October 31, 2026 (Non-DME Part B, Tennessee, Clinic/Group Practice) · CMS Revalidation Due Date List, October 2026 release
- **Clinicians billing through this organization:** 11 clinicians in 3 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nephrology (7), Nurse Practitioner (3), Registered Dietitian or Nutrition Professional (1); 4 practice at this address and 5 within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** October 8, 2026
- **Other identifiers:** Medicaid Q068748 (TN)
---
Source: [NPI Profile](https://npiprofile.com/npi/1932779170) · Data from the CMS NPPES public registry.