NPIMap

Individual provider Active NPI

Abdul Buridi, MD

  • Nephrology Physician
  • Louisville, KY
National Provider Identifier
1376504985
Registry record updated Sep 8, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
33344 Issued in KY
Practice address
716 W Broadway
Louisville, KY 40202-2216
Phone
(502) 595-7744
Fax
(502) 595-7007
NPI assigned
Mar 31, 2006
Last updated
Sep 8, 2014By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 8, 2014

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 33344 KY
Nephrology Physician 207RN0300X 33344 KY Primary
Nephrology Physician 207RN0300X 01045734A IN

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
P00013440OtherRAILROAD MEDICARE
64028079MedicaidKY
200127760MedicaidIN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN, KY2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20101230000770 IN Practitioner - NephrologyPractitioner - Internal Medicine 0941270607 Reassigns benefits to 1 organization
I20110103000716 KY Practitioner - NephrologyPractitioner - Internal Medicine 0941270607 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
NephrologyAlso: Internal Medicine
Education
Other, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Kidney Care Consultants PSCGroup PAC ID 9537139282, 12 clinicians

Practice addresses (Care Compare)

1473 N Gardner St
Scottsburg, IN 47170-7751
Phone (502) 595-7744

207 Sparks Ave
Jeffersonville, IN 47130-3739
Phone (502) 595-7744

716 W Broadway
Louisville, KY 40202-2216
Phone (502) 425-9121

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
01045734AINMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Kidney Care Consultants, PSC Nephrology CurrentSince Apr 1, 2003 Accepting new patients
Kidney Care Consultants Current Accepting new patients
Saguaro Dialysis LLC PastSince Oct 1, 2020 Accepting new patients
Lima Memorial Joint Operating Company Past Accepting new patients
Farnolle Dialysis LLC PastSince Mar 7, 2021 Accepting new patients
Cleanse Clinic, PLLC PastSince Dec 10, 2014 Accepting new patients
American Home Healthcare Services, Inc. PastSince Aug 4, 2016 Accepting new patients
American Physical Therapy Services, LLC PastSince May 19, 2014 Accepting new patients
Komg-Louisville Region Inc. Past Accepting new patients

Locations

1263 Hospital Dr NW
Ste 100
Corydon, IN 47112
Phone (502) 888-1988

313 Federal Dr NW
Ste 10
Corydon, IN 47112
Phone (502) 937-2209

207 Sparks Ave
Ste 404
Jeffersonvlle, IN 47130
Phone (812) 218-3212

1919 State St
Ste 444
New Albany, IN 47150
Phone (502) 368-9590

309 11th St
Carrollton, KY 41008
Phone (502) 732-3241

1023 New Moody Ln
Ste 202
Lagrange, KY 40031
Phone (502) 222-3452

10216 Taylorsville Rd
Ste 850
Louisville, KY 40299
Phone (502) 240-0315

3906 S DuPont Sq
Ste E
Louisville, KY 40207
Phone (502) 893-6654

3950 Kresge Way
Ste 103
Louisville, KY 40207
Phone (502) 895-2489

4402 Churchman Ave
Ste 400
Louisville, KY 40215

5801 Preston Hwy
Louisville, KY 40219
Phone (502) 308-3432

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

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

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

50 Church View St
Shelbyville, KY 40065
Phone (502) 647-0127

Interoperability endpoints

  • Direct secure messaging: abdul.buridi@direct.davitaphysiciansolutions.com

Organizations & group practices 11

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 40

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 40

NPI Registry JSON

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

{
    "created_epoch": "1143763200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1410134400000",
    "number": "1376504985",
    "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": {
        "last_name": "BURIDI",
        "first_name": "ABDUL",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-31",
        "last_updated": "2014-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "KY",
            "license": "33344",
            "primary": false
        },
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "KY",
            "license": "33344",
            "primary": true
        },
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "IN",
            "license": "01045734A",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00013440",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "64028079",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200127760",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Louisville, KY

Sources for this page

Verify at the official NPI Registry.