Kidney Care Specialists, LLC

Primary specialty

Nephrology PhysicianTaxonomy code 207RN0300X

Legal business name

KIDNEY CARE SPECIALISTS, LLC

Practice address

1362 E Stroop Rd
Kettering, OH 45429-4926

Phone

(937) 643-0015

Fax

(937) 643-0016

NPI assigned

Oct 12, 2009

Last updated

Jan 21, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Ibrahim Ahmad, M.D.NPI 1649278110

Title

President

Phone

(937) 643-0015

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in OH

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 14

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.

• Ibrahim Ahmad, M.D.

  • Nephrology Physician
  • Kettering, OH
  • NPI 1649278110
  Medicare reassignment Care Compare group NPD Authorized official
• Ahmed Oyesola Giwa, D.O

  • Hospitalist Physician
  • Cincinnati, OH
  • NPI 1528406840
  Medicare reassignment Care Compare group NPD
• Madhu Kandarpa, MD

  • Nephrology Physician
  • Kettering, OH
  • NPI 1891999413
  Medicare reassignment Care Compare group NPD
• Victoria Louise Martz, APRN,FNP-C

  • Nurse Practitioner
  • Kettering, OH
  • NPI 1992429831
  Medicare reassignment Care Compare group NPD
• Krizzia Krizzel Soriano, FNP

  • Family Nurse Practitioner
  • Kettering, OH
  • NPI 1376358432
  Medicare reassignment Care Compare group NPD
• Arthur Tsai, M.D.

  • Nephrology Physician
  • Kettering, OH
  • NPI 1679638423
  Medicare reassignment Care Compare group NPD
• Mohammad Ali Katout, MD

  • Internal Medicine Physician
  • Flint, MI
  • NPI 1033375464

  OH

  Medicare reassignment Care Compare group NPD
• Abigail Denlinger, PA-C

  • Physician Assistant
  • Kettering, OH
  • NPI 1245872415
  Medicare reassignment Care Compare group
• Jennifer Darlene Bair, NP

  • Family Nurse Practitioner
  • Greenville, OH
  • NPI 1265931943
  Medicare reassignment NPD
• William Scott Collins

  • Family Nurse Practitioner
  • West Carrollton, OH
  • NPI 1952940991
  Medicare reassignment NPD
• Gretta Nuss

  • Family Nurse Practitioner
  • Kettering, OH
  • NPI 1184265324

  Single Specialty

  Medicare reassignment NPD
• Bindhu Sajay

  • Adult Health Clinical Nurse Specialist
  • Dayton, OH
  • NPI 1134655350
  Medicare reassignment NPD

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

{
    "created_epoch": "1255305600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1421798400000",
    "number": "1144555939",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1362 E STROOP RD",
            "city": "KETTERING",
            "state": "OH",
            "postal_code": "454294926",
            "telephone_number": "937-643-0015",
            "fax_number": "937-643-0016"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1362 E STROOP RD",
            "city": "KETTERING",
            "state": "OH",
            "postal_code": "454294926",
            "telephone_number": "937-643-0015",
            "fax_number": "937-643-0016"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KIDNEY CARE SPECIALISTS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-10-12",
        "last_updated": "2015-01-21",
        "status": "A",
        "authorized_official_last_name": "AHMAD",
        "authorized_official_first_name": "IBRAHIM",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "937-643-0015",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3015589",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kettering Urology Institute Inc
• Kevin G Malloy MD, LLC
• Key Behavior Services, LLC
• Aelius Ali Khan, MD
• Shawna Kidd
• Matthew P Kiefaber, MD
• Robert Woodrow Kiefaber, M.D.
• Patrick James Kiggins, D.D.S.
• John C Kihn Sr., PHARMACIST
• Timothy Kilmer

• Nephrology Physician in Kettering, OH
• Providers in Kettering, OH by specialty
• Nephrology Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2015; 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.

Verify at the official NPI Registry.