Kmi Acquisition LLC

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

Legal business name

KMI ACQUISITION LLC

Practice address

8521 La Grange Rd
Louisville, KY 40242-3800

Phone

(502) 426-6380

NPI assigned

Apr 16, 2021

Organization subpart

No

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

Authorized official

Name

Steve Filton

Title

Vice President

Phone

(610) 768-3300

Specialties & licenses 8

Addresses

Other names 1

• The Brook Hospital KMI Doing business as

Medicare fee-for-service enrollment

Enrolled in KY

Enrollment records 1

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Kmi Acquisition LLC

  • Psychiatric Hospital
  • Louisville, KY
  • NPI 1104097021

  O20080513000534

  Same enrollment

Tax ID family

Kmi Acquisition LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Kmi Acquisition LLC

  • Psychiatric Hospital
  • Louisville, KY
  • NPI 1104097021
  NPD tax ID

Practitioners 8

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

• Sufian Ahmad, MD

  • Psychiatry Physician
  • Elizabethtown, KY
  • NPI 1821352824
  NPD
• Carol Sue McLennan, MSN, ARNP, CNS, FNP

  • Family Nurse Practitioner
  • Louisville, KY
  • NPI 1477601474

  Psychiatric/Mental Health

  NPD
• Debra Tinsley Schmid, APRN

  • Psychiatric/Mental Health Nurse Practitioner
  • Louisville, KY
  • NPI 1609411347
  NPD
• Maryl Smith, APRN

  • Psychiatric/Mental Health Nurse Practitioner
  • Louisville, KY
  • NPI 1366826455
  NPD
• Ronald L Spears, M.D.

  • Psychiatry Physician
  • Louisville, KY
  • NPI 1932273174
  NPD
• John Stocking, M.D.

  • Addiction Medicine (Anesthesiology) Physician
  • Louisville, KY
  • NPI 1841280575
  NPD
• Mashiur Rahman Khan, M.D.

  • Psychiatry Physician
  • Jeffersonville, IN
  • NPI 1396941175
  NPD
• Anitha Mandadapu, M.D

  • Child & Adolescent Psychiatry Physician
  • Jeffersonville, IN
  • NPI 1699816744
  NPD

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

{
    "created_epoch": "1618531200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1618531200000",
    "number": "1073194585",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8521 LA GRANGE RD",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402423800",
            "telephone_number": "502-426-6380"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8521 LA GRANGE RD",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402423800",
            "telephone_number": "502-426-6380"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KMI ACQUISITION LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-04-16",
        "last_updated": "2021-04-16",
        "certification_date": "2021-04-16",
        "status": "A",
        "authorized_official_last_name": "FILTON",
        "authorized_official_first_name": "STEVE",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "610-768-3300"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "364SP0807X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Clinical Nurse Specialist, Psychiatric/Mental Health, Child & Adolescent",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "364SP0808X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Clinical Nurse Specialist, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "364SP0809X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Clinical Nurse Specialist, Psychiatric/Mental Health, Adult",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "364SP0810X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Clinical Nurse Specialist, Psychiatric/Mental Health, Child & Family",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "364SP0811X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Clinical Nurse Specialist, Psychiatric/Mental Health, Chronically Ill",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "364SP0813X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Clinical Nurse Specialist, Psychiatric/Mental Health, Geropsychiatric",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Brook Hospital KMI",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Mary Angelique Klondike
• Jerry Klopfenstein, LCSW
• Kelly Klump
• Stephen Klump, LPCC
• Kimberly Klutey
• Kmi Acquisition LLC
• Kmi Acquisition LLC
• Ashley Elizabeth Knable, ARNP
• Mika Knable, PHARMD
• Jennifer L Knapmeyer, LSCW

• Psychiatry Physician in Louisville, KY
• Providers in Louisville, KY by specialty
• Psychiatry Physician in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2021; 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.