NPIMap

Individual provider Active NPI

Khurram Nazeer, MD

  • Nephrology Physician
  • Louisville, KY
National Provider Identifier
1043291081
Registry record updated Oct 13, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
38902 Issued in KY
Practice address
234 East Gray
Suite 858
Louisville, KY 40202-1715
Phone
(502) 583-1799
Fax
(502) 583-1792
NPI assigned
Nov 8, 2005
Last updated
Oct 13, 2011By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 13, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X 38902 KY Primary

Addresses

Primary practice location

234 East Gray
Suite 858
Louisville, KY 40202-1715

Mailing address

234 E Gray St
Suite 858
Louisville, KY 40202-1900
Phone (502) 583-1799

Other identifiers 1

IdentifierTypeStateIssuer
64086259MedicaidKY

Medicare participation

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

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20040728000145 KY Practitioner - NephrologyPractitioner - Internal Medicine 7517937501 Reassigns benefits to 1 organization
I20100119000115 IN Practitioner - NephrologyPractitioner - Internal Medicine 7517937501 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nephrology
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Bluegrass Kidney Consultants PSCGroup PAC ID 0840357646, 19 clinicians

Practice addresses (Care Compare)

1919 State St
Suite 444
New Albany, IN 47150-6809
Phone (502) 583-1799

207 Sparks Ave
Jeffersonville, IN 47130-3739
Phone (502) 583-1799

630 N Broadway St
Kings Daughter Prof Building
Madison, IN 47250-3310
Phone (502) 583-1799

721 S Preston St
Louisville, KY 40203-2319
Phone (502) 583-1799

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Amelia Partners LLC PastSince Dec 2, 2008 Accepting new patients
Aulander Medical Practice PA Past Accepting new patients
East Carolina Health Past Accepting new patients
Vance Emergency Physicians Past Accepting new patients
Sterling Emergency Services of the Southeast, Inc Past Accepting new patients
Emcare Physician Providers, Inc. Past Accepting new patients

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/17934/brand/1/csg/1/fhir/r4
  • FHIR API: https://fhir4.healow.com/fhir/r4/CGGBBA/Endpoint/CGGBBA

Organizations & group practices 7

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

Hospital & facility affiliations 44

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

View all 44

NPI Registry JSON

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

{
    "created_epoch": "1131408000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1318464000000",
    "number": "1043291081",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "234 E GRAY ST",
            "address_2": "SUITE 858",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402021900",
            "telephone_number": "502-583-1799",
            "fax_number": "502-583-1792"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "234 EAST GRAY",
            "address_2": "SUITE 858",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402021715",
            "telephone_number": "502-583-1799",
            "fax_number": "502-583-1792"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NAZEER",
        "first_name": "KHURRAM",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-08",
        "last_updated": "2011-10-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "KY",
            "license": "38902",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "64086259",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Louisville, KY

Sources for this page

Verify at the official NPI Registry.