Kidney Care LLC

Primary specialty

Nephrology PhysicianTaxonomy code 207RN0300X

License

93764 Issued in FL

Legal business name

KIDNEY CARE LLC

Practice address

2200 N Alafaya TRL
Suite 600
Orlando, FL 32826-3993

Phone

(407) 482-5588

Fax

(407) 358-5084

NPI assigned

Aug 26, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Ayad Shukur, MDNPI 1669518320

Title

Sole Manager/Owner

Phone

(407) 473-8611

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Practitioners 2

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

• Ayad Shukur, MD

  • Nephrology Physician
  • Orlando, FL
  • NPI 1669518320
  Medicare reassignment NPD Authorized official
• Rizma Jalees Bajwa, MD

  • Nephrology Physician
  • Evergreen Park, IL
  • NPI 1427211978

  FL

  Medicare reassignment NPD

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

{
    "created_epoch": "1219708800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1297209600000",
    "number": "1689821241",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2200 N ALAFAYA TRL",
            "address_2": "SUITE 600",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328263993",
            "telephone_number": "407-482-5588",
            "fax_number": "407-358-5084"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2200 N ALAFAYA TRL",
            "address_2": "SUITE 600",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328263993",
            "telephone_number": "407-482-5588",
            "fax_number": "407-358-5084"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KIDNEY CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-08-26",
        "last_updated": "2011-02-09",
        "status": "A",
        "authorized_official_last_name": "SHUKUR",
        "authorized_official_first_name": "AYAD",
        "authorized_official_title_or_position": "SOLE MANAGER/OWNER",
        "authorized_official_telephone_number": "407-473-8611",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Nephrology",
            "state": "FL",
            "license": "93764",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Whitney Degraff Kicklighter, LMHC
• Kid Continuum LLC
• Kid'S Therapy Land Bilingual Speech LLC
• Temesgen Alem Kidane, PTA
• Geraldine Kidary, ARNP
• Kidoz Therapy Zone LLC
• Kids Neuro Care LLC
• Kids Therapy ABA LLC
• Kids-Medical
• Kidskidneydoc LLC

• Nephrology Physician in Orlando, FL
• Providers in Orlando, FL by specialty
• Nephrology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2011; 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.