NPIMap

Organization Active NPI

Montgomery Kidney Specialists, LLP

Doing business as Montgomery Kidney Specialists of Selma

  • Specialist
  • Montgomery, AL
National Provider Identifier
1356452403
Registry record updated Oct 7, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Legal business name
MONTGOMERY KIDNEY SPECIALISTS, LLP
Doing business as
Montgomery Kidney Specialists of Selma
Practice address
2034 Chestnut St
Montgomery, AL 36106-1111
Phone
(334) 269-0212
Fax
(334) 269-2144
NPI assigned
Aug 31, 2006
Last updated
Oct 7, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 7, 2026

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

Authorized official

Name
Rafael A. Lopez, MDNPI 1700890936
Title
Owner/Partner
Phone
(334) 269-0212

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X NU Primary

Addresses

Primary practice location

2034 Chestnut St
Montgomery, AL 36106-1111

Mailing address

2034 Chestnut St
Montgomery, AL 36106-1111
Phone (334) 269-0212

Other names 2

  • Montgomery Kidney Specialists of Selma Doing business as
  • Montgomery Kidney Specialists Former legal business name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040721001413 AL Part B Supplier - Clinic/Group Practice 0345220224 Receives reassigned benefits from 11 practitioners
Practice locations: Prattville, AL; Wetumpka, AL; Union Springs, AL; Troy, AL; Tallassee, AL; Opelika, AL; Montgomery, AL; Luverne, AL…

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
01D0693345Montgomery Kidney Specialists2034 Chestnut St, Montgomery, AL 36106Provider-performed microscopyDec 22, 2027

National Provider Directory

National Provider Directory

Locations

302 Paul Stabler Dr
Ste C
Greenville, AL 36037

350 Paul Stabler Dr
Greenville, AL 36037
Phone (334) 383-0006

40 Wasden Ln
Hope Hull, AL 36043
Phone (334) 286-3972

1014 S Forest Ave
Luverne, AL 36049
Phone (334) 535-0230

2034 Chestnut St
Montgomery, AL 36106
Phone (205) 269-0212

600 McQueen Smith Rd S
Prattville, AL 36066
Phone (334) 358-1576

203 Lincoln Ln
Selma, AL 36701

112 Conecuh Ave W
Union Springs, AL 36089
Phone (334) 738-0330

112 Conecuh Ave W
Rm 2
Union Springs, AL 36089
Phone (334) 269-0212

Practitioners & affiliated clinicians

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.

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1791331200000",
    "number": "1356452403",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2034 CHESTNUT ST",
            "city": "MONTGOMERY",
            "state": "AL",
            "postal_code": "361061111",
            "telephone_number": "334-269-0212",
            "fax_number": "334-269-2144"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2034 CHESTNUT ST",
            "city": "MONTGOMERY",
            "state": "AL",
            "postal_code": "361061111",
            "telephone_number": "334-269-0212",
            "fax_number": "334-269-2144"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MONTGOMERY KIDNEY SPECIALISTS, LLP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-31",
        "last_updated": "2026-10-07",
        "certification_date": "2026-10-07",
        "status": "A",
        "authorized_official_last_name": "LOPEZ",
        "authorized_official_first_name": "RAFAEL",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "OWNER/PARTNER",
        "authorized_official_telephone_number": "334-269-0212",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Montgomery Kidney Specialists of Selma",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Montgomery Kidney Specialists",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Montgomery, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2026; 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.