Organization Active NPI

Don R Duff

  • Nephrology Physician
  • Louisville, KY
National Provider Identifier
1073000246
Registry record updated Jun 28, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
Legal business name
DON R DUFF
Practice address
3999 Dutchmans LN Ste 4a
Louisville, KY 40207
Phone
(502) 365-2655
Fax
(502) 365-2770
NPI assigned
Apr 13, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 28, 2018

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

Authorized official

Name
Don R Duff, MDNPI 1154325900
Title
Owner
Phone
(502) 365-2655

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RN0300X Primary
Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363L00000X

Addresses

Primary practice location

3999 Dutchmans LN Ste 4a
Louisville, KY 40207

Mailing address

3999 Dutchmans LN Ste 4a
Louisville, KY 40207-4745
Phone (502) 365-2655

Other names 1

  • The Kidney Speicalists of Kentuckiana PLLC Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20180821000569 KY Part B Supplier - Clinic/Group Practice 3375892607 Receives reassigned benefits from 2 practitioners
Practice locations: Louisville, KY; Mt Washington, KY; Shepherdsville, KY

National Provider Directory

National Provider Directory

Locations

100 Mallard Creek Rd
Ste 310
Louisville, KY 40207
Phone (502) 365-2655

3935 Taylorsville Rd
Louisville, KY 40220

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1523577600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1530144000000",
    "number": "1073000246",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3999 DUTCHMANS LN STE 4A",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402074745",
            "telephone_number": "502-365-2655",
            "fax_number": "502-365-2770"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3999 DUTCHMANS LN STE 4A",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "40207",
            "telephone_number": "502-365-2655",
            "fax_number": "502-365-2770"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DON R DUFF",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-04-13",
        "last_updated": "2018-06-28",
        "status": "A",
        "authorized_official_last_name": "DUFF",
        "authorized_official_first_name": "DON",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "502-365-2655",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Nephrology",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Kidney Speicalists of Kentuckiana PLLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Louisville, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.