Active NPI
American Kidney Center- Greenwood Rd LLC
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Louisville, KY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Legal business name
- AMERICAN KIDNEY CENTER- GREENWOOD RD LLC
- Practice address
- 4604 Greenwood Rd
Louisville, KY 40258-3726 - Phone
- (502) 583-1799
- NPI assigned
- Oct 10, 2023
- Last updated
- Oct 10, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Jai Bhimani, MD
- Title
- Owner/Medical Director
- Phone
- (502) 583-1799
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| End-Stage Renal Disease (ESRD) Treatment Clinic/Center | 261QE0700X | NU | Primary |
Addresses
Primary practice location
4604 Greenwood Rd
Louisville, KY 40258-3726
Mailing address
721 S Preston St
Louisville, KY 40203-2319
Phone (502) 583-1799
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KY
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20231130003618 | KY | Part A Provider - End-Stage Renal Disease Facility (ESRD) | 6204284268 | Practice locations: Louisville, KY |
Care Compare: Dialysis facility
Medicare Care Compare- Listed as
- American Kidney Center- Greenwood Rd LLC
- Overall star rating
- Ownership
- Profit
- Certified
- Mar 25, 2024
- Medicare certification status
- Active
- Dialysis stations
- 10
Name & address match This facility record has no NPI; it was connected to this NPI by matching name and address.
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 18D2294164 | American Kidney Center - Greenwood Rd, LLC | Certificate of waiver | Nov 19, 2027 |
National Provider Directory
National Provider DirectoryLocations
4604 Greenwood Rd
Louisville, KY 40258
Phone (502) 291-5815
721 S Preston St
Louisville, KY 40203
Phone (502) 589-9325
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Nephrology Physician
- Louisville, KY
- NPI 1851326128
Affiliated clinicians 1
Clinicians who list this facility as an affiliation in Medicare Care Compare.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1696896000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1696896000000",
"number": "1073394631",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "721 S PRESTON ST",
"city": "LOUISVILLE",
"state": "KY",
"postal_code": "402032319",
"telephone_number": "502-583-1799"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4604 GREENWOOD RD",
"city": "LOUISVILLE",
"state": "KY",
"postal_code": "402583726",
"telephone_number": "502-583-1799"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "AMERICAN KIDNEY CENTER- GREENWOOD RD LLC",
"organizational_subpart": "NO",
"enumeration_date": "2023-10-10",
"last_updated": "2023-10-10",
"certification_date": "2023-10-10",
"status": "A",
"authorized_official_last_name": "BHIMANI",
"authorized_official_first_name": "JAI",
"authorized_official_title_or_position": "OWNER/MEDICAL DIRECTOR",
"authorized_official_telephone_number": "502-583-1799",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "261QE0700X",
"taxonomy_group": "",
"desc": "Clinic/Center, End-Stage Renal Disease (ESRD) Treatment",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Louisville, KY
- American Diagnostics Services LLC (TridentCare)
- American Health Management, Inc.
- American Health Network of Kentucky, LLC
- American Home Dialysis, LLC
- American Kidney Center- Browns Lane
- American Mobility Products, LLC
- American Oncology Partners, P.a. (Cancer and Blood Specialists of Louisville)
- American Portable Medical Services, Inc.
- American Sleep Products, LLC
- American Urgent Care Centers, PSC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- 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.