Active NPI
Oksana I Nimkevych, M.D.
- Nephrology Physician
- Metairie, LA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nephrology Physician
- License
- 205775
- Practice address
- 4712 Meadowdale St
Metairie, LA 70006-4036 - Phone
- (504) 450-5292
- NPI assigned
- Sep 15, 2009
- Last updated
- Feb 7, 2017
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nephrology Physician | 207RN0300X | 205775 | LA | Primary |
Addresses
Primary practice location
4712 Meadowdale St
Metairie, LA 70006-4036
Mailing address
4712 Meadowdale St
Metairie, LA 70006-4036
Phone (504) 450-5292
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in LA, WA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Nephrology
- Education
- Other, 2005
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
101 W 8TH Ave
Suite 1100
Spokane, WA 99204-2307
Phone (504) 464-8712
200 W Esplanade Ave
Suite 305
Kenner, LA 70065-2474
Phone (504) 464-8712
2880 W Airline Hwy
La Place, LA 70068-2922
Phone (504) 464-8712
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 205775 | LA | MD | Nephrology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Providence Health & Services Washington | Current | Accepting new patients | |
| Kidney Counsultants LLC | Nephrology | Current | Accepting new patients |
| Wellness Institute of Nephrology, LLC (Win) | Nephrology | Past | Accepting new patients |
Locations
200 W Esplanade Ave
Ste 305
Kenner, LA 70065
Phone (504) 464-8712
1200 E Columbia Ave
Colville, WA 99114
Phone (509) 684-3701
101 W 8th Ave
Ste 1100
Spokane, WA 99204
Phone (509) 474-4060
105 W 8th Ave
Ste 1000
Spokane, WA 99204
Phone (509) 474-4500
Organizations & group practices 4
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.
-
- Nephrology Physician
- Kenner, LA
- NPI 1528261831
-
dba Providence Medical Group
- Pulmonary Disease Physician
- Spokane, WA
- NPI 1194099390
-
dba Providence North East Washington Medical Group
- Family Medicine Physician
- Colville, WA
- NPI 1083968879
-
- Nephrology Physician
- Kenner, LA
- NPI 1154067155
Hospital & facility affiliations 8
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Metairie Dialysis Center
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Metairie, LA
- NPI 1104921923
Dialysis facility
-
dba Ochsner Medical Center Acute
- General Acute Care Hospital
- New Orleans, LA
- NPI 1811973100
-
- General Acute Care Hospital
- Kenner, LA
- NPI 1710097936
-
- General Acute Care Hospital
- New Orleans, LA
- NPI 1033611454
-
dba East Jefferson General Hospital
- General Acute Care Hospital
- Metairie, LA
- NPI 1497792527
-
dba Lakeview Regional Behavioral Health
- Psychiatric Hospital Unit
- Covington, LA
- NPI 1790722825
-
dba Prov Scred Hrt Med Ctr & Chlds Hos
- General Acute Care Hospital
- Spokane, WA
- NPI 1144471715
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1252972800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1486425600000",
"number": "1053644567",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4712 MEADOWDALE ST",
"city": "METAIRIE",
"state": "LA",
"postal_code": "700064036",
"telephone_number": "504-450-5292"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4712 MEADOWDALE ST",
"city": "METAIRIE",
"state": "LA",
"postal_code": "700064036",
"telephone_number": "504-450-5292"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NIMKEVYCH",
"first_name": "OKSANA",
"middle_name": "I",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-09-15",
"last_updated": "2017-02-07",
"status": "A"
},
"taxonomies": [
{
"code": "207RN0300X",
"taxonomy_group": "",
"desc": "Internal Medicine, Nephrology",
"state": "LA",
"license": "205775",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
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- Bennie Peter Nobles Jr., MD
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.