Organization Active NPI

Nephrology Associates of Central Kentucky LLC

  • Nephrology Physician
  • Elizabethtown, KY
National Provider Identifier
1528062460
Registry record updated Feb 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
Legal business name
NEPHROLOGY ASSOCIATES OF CENTRAL KENTUCKY LLC
Practice address
105 Financial PL
Suit 105
Elizabethtown, KY 42701
Phone
(270) 765-5112
Fax
(270) 737-9252
NPI assigned
Jun 9, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 13, 2025

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

Authorized official

Name
Khalid M Bhatti, MDNPI 1497824114
Title
Owner
Phone
(270) 765-5112

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 PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RN0300X Primary

Addresses

Primary practice location

105 Financial PL
Suit 105
Elizabethtown, KY 42701

Mailing address

105 Financial PL
Suit 105
Elizabethtown, KY 42701-8437
Phone (270) 765-5112

Other identifiers 1

IdentifierTypeStateIssuer
65933236MedicaidKY

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050929000845 KY Part B Supplier - Clinic/Group Practice 6709811565 Receives reassigned benefits from 4 practitioners
Practice locations: Leitchfield, KY; Lebanon, KY; Elizabethtown, KY; Campbellsville, KY; Bardstown, KY

National Provider Directory

National Provider Directory
Tax ID family
Nephrology Assoc Central Ky2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

500 Chestnut St
Bowling Green, KY 42101
Phone (270) 765-5112

101 Kingswood Dr
Campbellsvlle, KY 42718
Phone (270) 465-0787

105 Financial Pl
Elizabethtown, KY 42701
Phone (270) 765-5112

Practitioners & affiliated clinicians

Practitioners 7

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

NPI Registry JSON

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

{
    "created_epoch": "1118275200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1739404800000",
    "number": "1528062460",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 FINANCIAL PL",
            "address_2": "SUIT 105",
            "city": "ELIZABETHTOWN",
            "state": "KY",
            "postal_code": "427018437",
            "telephone_number": "270-765-5112",
            "fax_number": "270-737-9252"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 FINANCIAL PL",
            "address_2": "SUIT 105",
            "city": "ELIZABETHTOWN",
            "state": "KY",
            "postal_code": "42701",
            "telephone_number": "270-765-5112",
            "fax_number": "270-737-9252"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEPHROLOGY ASSOCIATES OF CENTRAL KENTUCKY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-06-09",
        "last_updated": "2025-02-13",
        "certification_date": "2025-02-13",
        "status": "A",
        "authorized_official_last_name": "BHATTI",
        "authorized_official_first_name": "KHALID",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "270-765-5112",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Nephrology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "65933236",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Elizabethtown, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 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.