Organization Active NPI

Kidney Care Direct, LLC

  • Nephrology Physician
  • Boca Raton, FL
National Provider Identifier
1396143343
Registry record updated May 16, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
ME121982 Issued in FL
Legal business name
KIDNEY CARE DIRECT, LLC
Practice address
1601 Clint Moore Rd
Suite 160
Boca Raton, FL 33487
Phone
(732) 654-6523
NPI assigned
Dec 8, 2014
Last updated
May 16, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 16, 2026

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

Authorized official

Name
Amay ParikhNPI 1740464924
Title
Owner
Phone
(407) 906-5231

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
Nephrology Physician 207RN0300X ME121982 FL Primary

Addresses

Primary practice location

1601 Clint Moore Rd
Suite 160
Boca Raton, FL 33487

Mailing address

424 E Central Blvd Ste 101
Orlando, FL 32801-1923
Phone (407) 906-5231

Other practice location 1

495 Thomas Jones Way Ste 300
Exton, PA 19341-2553
Phone (407) 906-5231

Other practice location 2

502 McCormick Dr Ste A-B
Glen Burnie, MD 21061-3216
Phone (407) 906-5231

Other practice location 3

800 Roosevelt Rd Ste E320
Glen Ellyn, IL 60137-5893
Phone (630) 942-1111

Other practice location 4

16545 Southwest Fwy Ste 275
Sugar Land, TX 77479-3601
Phone (407) 906-5231

Other practice location 5

13295 Illinois St Ste 210
Carmel, IN 46032-3021
Phone (407) 906-5231

Other practice location 6

3619 Park East Dr Ste 110
Beachwood, OH 44122-4312
Phone (407) 906-5231

Other practice location 7

4714 16th Ave Fl 4
Brooklyn, NY 11204-1197
Phone (407) 906-5231

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ, FL, IN, PA, OH, TX, TN, GA, IL9 enrollments

Enrollment records 9

Enrollment IDStateProvider typePAC IDDetails
O20150402000144 NJ Part B Supplier - Clinic/Group Practice 1355668278 Receives reassigned benefits from 1 practitioner
Practice locations: Neptune, NJ
O20151020001239 FL Part B Supplier - Clinic/Group Practice 1355668278 Receives reassigned benefits from 1 practitioner
Practice locations: Boca Raton, FL
O20200515001291 IN Part B Supplier - Clinic/Group Practice 1355668278 Receives reassigned benefits from 1 practitioner
Practice locations: Carmel, IN
O20200520001892 PA Part B Supplier - Clinic/Group Practice 1355668278 Receives reassigned benefits from 1 practitioner
Practice locations: Exton, PA
O20200520003718 OH Part B Supplier - Clinic/Group Practice 1355668278 Receives reassigned benefits from 1 practitioner
Practice locations: Beachwood, OH
O20200526003232 TX Part B Supplier - Clinic/Group Practice 1355668278 Receives reassigned benefits from 1 practitioner
Practice locations: Sugar Land, TX
O20200626002330 TN Part B Supplier - Clinic/Group Practice 1355668278 Receives reassigned benefits from 1 practitioner
Practice locations: Memphis, TN
O20260421002471 GA Part B Supplier - Clinic/Group Practice 1355668278 Receives reassigned benefits from 1 practitioner
Practice locations: Norcross, GA
O20260508002958 IL Part B Supplier - Clinic/Group Practice 1355668278 Receives reassigned benefits from 1 practitioner
Practice locations: Glen Ellyn, IL

National Provider Directory

National Provider Directory

Locations

502 McCormick Dr
Ste Ab
Glen Burnie, MD 21061

1918 Innerbelt Business Center Dr
Saint Louis, MO 63114
Phone (732) 806-8362

4714 16th Ave
Fl 4
Brooklyn, NY 11204

495 Thomas Jones Way
Ste 300
Exton, PA 19341
Phone (617) 821-4215

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.

NPI Registry JSON

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

{
    "created_epoch": "1417996800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1778889600000",
    "number": "1396143343",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "424 E CENTRAL BLVD STE 101",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328011923",
            "telephone_number": "407-906-5231"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1601 CLINT MOORE RD",
            "address_2": "SUITE 160",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "33487",
            "telephone_number": "732-654-6523"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "495 Thomas Jones Way Ste 300",
            "address_purpose": "LOCATION",
            "city": "Exton",
            "state": "PA",
            "postal_code": "193412553",
            "country_code": "US",
            "telephone_number": "407-906-5231",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "502 McCormick Dr Ste A-B",
            "address_purpose": "LOCATION",
            "city": "Glen Burnie",
            "state": "MD",
            "postal_code": "210613216",
            "country_code": "US",
            "telephone_number": "407-906-5231",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "800 Roosevelt Rd Ste E320",
            "address_purpose": "LOCATION",
            "city": "Glen Ellyn",
            "state": "IL",
            "postal_code": "601375893",
            "country_code": "US",
            "telephone_number": "630-942-1111",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "16545 Southwest Fwy Ste 275",
            "address_purpose": "LOCATION",
            "city": "Sugar Land",
            "state": "TX",
            "postal_code": "774793601",
            "country_code": "US",
            "telephone_number": "407-906-5231",
            "fax_number": "877-991-9077",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "13295 Illinois St Ste 210",
            "address_purpose": "LOCATION",
            "city": "Carmel",
            "state": "IN",
            "postal_code": "460323021",
            "country_code": "US",
            "telephone_number": "407-906-5231",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3619 Park East Dr Ste 110",
            "address_purpose": "LOCATION",
            "city": "Beachwood",
            "state": "OH",
            "postal_code": "441224312",
            "country_code": "US",
            "telephone_number": "407-906-5231",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4714 16th Ave Fl 4",
            "address_purpose": "LOCATION",
            "city": "Brooklyn",
            "state": "NY",
            "postal_code": "112041197",
            "country_code": "US",
            "telephone_number": "407-906-5231",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "KIDNEY CARE DIRECT, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-12-08",
        "last_updated": "2026-05-16",
        "certification_date": "2026-05-16",
        "status": "A",
        "authorized_official_last_name": "PARIKH",
        "authorized_official_first_name": "AMAY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "407-906-5231"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "FL",
            "license": "ME121982",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boca Raton, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2026; 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.