Individual provider Active NPI

Rafael Baracaldo, M.D.

  • Nephrology Physician
  • Louisville, KY
National Provider Identifier
1013151968
Registry record updated Sep 2, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
TP737 Issued in KY
Practice address
6400 Dutchmans Pkwy Ste 250
Louisville, KY 40205-3354
Phone
(502) 587-9660
Fax
(502) 540-5615
NPI assigned
Apr 22, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 2, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X TP737 KY Primary
Nephrology Physician 207RN0300X 01085062A IN

Addresses

Primary practice location

6400 Dutchmans Pkwy Ste 250
Louisville, KY 40205-3354

Mailing address

6400 Dutchmans Pkwy Ste 250
Louisville, KY 40205-3354
Phone (502) 587-9660

Other names 1

  • Rafael Mauricio Baracaldo Villalba Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY, IN2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20210107002424 KY Practitioner - Nephrology 2264653013 Reassigns benefits to 1 organization
I20210423000480 IN Practitioner - Nephrology 2264653013 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nephrology
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Nephrology Associates of Kentuckiana PSCGroup PAC ID 4183522618, 38 clinicians

Practice addresses (Care Compare)

102 Connie Ave
Suite 104
Salem, IN 47167-2312
Phone (812) 883-9187

6400 Dutchmans Pkwy
Suite 250
Louisville, KY 40205-3354
Phone (502) 587-9660

Hospital & facility affiliations

  • FMC-South Central Louisville Dialysis facility, Louisville, KY, CCN 182567
  • FMC - Southwest Dialysis facility, Valley Station, KY, CCN 182543
  • DaVita Meadows East Dialysis Dialysis facility, Louisville, KY, CCN 182592
  • Baptist Health Louisville Hospital, Louisville, KY, CCN 180130
  • UOFL HEALTH - JEWISH HOSPITAL and Mary & Elizabeth Hospital Hospital, Louisville, KY, CCN 180040
  • Norton Hospitals, Inc Hospital, Louisville, KY, CCN 180088
  • Baptist Health Hardin Hospital, Elizabethtown, KY, CCN 180012
  • Norton Clark Hospital Hospital, Jeffersonville, IN, CCN 150009

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
04-37029KSMDNephrology Physician
TP737KYMDNephrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Nephrology Associates of Kentuckiana PSC Nephrology CurrentSince Nov 21, 2020 Accepting new patients

Locations

1919 State St
Ste 444
New Albany, IN 47150
Phone (502) 368-9590

102 Connie Ave
Ste 104
Salem, IN 47167
Phone (812) 883-9187

914 N Dixie Ave
Ste 303
Elizabethtown, KY 42701
Phone (270) 900-0871

6400 Dutchmans Pkwy
Ste 250
Louisville, KY 40205
Phone 5025879660239

3 Audubon Plaza Dr
Ste 330
Louisville, KY 40217
Phone (502) 583-1697

Interoperability endpoints

  • Direct secure messaging: rbaracaldo31787@direct.acumenmd.com

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 41

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 41

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1240358400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788307200000",
    "number": "1013151968",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6400 DUTCHMANS PKWY STE 250",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402053354",
            "telephone_number": "502-587-9660",
            "fax_number": "502-540-5615"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6400 DUTCHMANS PKWY STE 250",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402053354",
            "telephone_number": "502-587-9660",
            "fax_number": "502-540-5615"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARACALDO",
        "first_name": "RAFAEL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-04-22",
        "last_updated": "2026-09-02",
        "certification_date": "2026-09-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "KY",
            "license": "TP737",
            "primary": true
        },
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "IN",
            "license": "01085062A",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "RAFAEL",
            "last_name": "BARACALDO VILLALBA",
            "middle_name": "MAURICIO",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Louisville, KY

Sources for this page

Verify at the official NPI Registry.