NPIMap

Organization Active NPI

Kidney Care Consultants, PSC

  • Nephrology Physician
  • Louisville, KY
National Provider Identifier
1083635908
Registry record updated Feb 26, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
Legal business name
KIDNEY CARE CONSULTANTS, PSC
Practice address
716 W Broadway
Louisville, KY 40202-2216
Phone
(502) 595-7744
Fax
(502) 595-7007
NPI assigned
Jul 23, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 26, 2025

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

Authorized official

Name
Abdul G. Buridi, MDNPI 1376504985
Title
MD/Owner
Phone
(502) 238-9911

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: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207RN0300X Primary
Nurse PractitionerGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 363L00000X

Addresses

Primary practice location

716 W Broadway
Louisville, KY 40202-2216

Mailing address

716 W Broadway
Louisville, KY 40202-2216
Phone (502) 238-9911

Other identifiers 3

IdentifierTypeStateIssuer
7100371660MedicaidKY
65938649MedicaidKY
200414260AMedicaidIN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY, IN2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20040729000530 KY Part B Supplier - Clinic/Group Practice 9537139282 Receives reassigned benefits from 19 practitioners
Practice locations: Shepherdsville, KY; Shelbyville, KY; Louisville, KY; Carrollton, KY; Jeffersontown, KY; Lagrange, KY
O20040827001012 IN Part B Supplier - Clinic/Group Practice 9537139282 Receives reassigned benefits from 15 practitioners
Practice locations: New Albany, IN; Scottsburg, IN; Salem, IN; Jeffersonville, IN; Corydon, IN; Charlestown, IN

National Provider Directory

National Provider Directory

Locations

220 Clifty Dr
Madison, IN 47250

1473 N Gardner St
Ste A
Scottsburg, IN 47170
Phone (812) 752-3512

716 W Broadway
Louisville, KY 40202
Phone (502) 222-3449

6500 Preston Hwy
Louisville, KY 40219
Phone (502) 893-5502

8037 Dixie Hwy
Louisville, KY 40258
Phone (502) 937-9111

9720 Park Plaza Ave
Unit 104
Louisville, KY 40241
Phone (502) 425-9138

1903 W Hebron Ln
Ste 202
Shepherdsville, KY 40165

Practitioners & affiliated clinicians

Practitioners 25

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

View all 25

NPI Registry JSON

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

{
    "created_epoch": "1153612800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1740528000000",
    "number": "1083635908",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "716 W BROADWAY",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402022216",
            "telephone_number": "502-238-9911",
            "fax_number": "502-238-9912"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "716 W BROADWAY",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402022216",
            "telephone_number": "502-595-7744",
            "fax_number": "502-595-7007"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KIDNEY CARE CONSULTANTS, PSC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-23",
        "last_updated": "2025-02-26",
        "certification_date": "2025-02-26",
        "status": "A",
        "authorized_official_last_name": "BURIDI",
        "authorized_official_first_name": "ABDUL",
        "authorized_official_middle_name": "G.",
        "authorized_official_title_or_position": "MD/OWNER",
        "authorized_official_telephone_number": "502-238-9911",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Internal Medicine, Nephrology",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Nurse Practitioner",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100371660",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "65938649",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200414260A",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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 Feb 26, 2025; 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.