NPIMap

Individual provider Active NPI

Boutros Nasri El-Haddad, MD

  • Nephrology Physician
  • Louisville, KY
National Provider Identifier
1710103080
Registry record updated Sep 4, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
TP640 Issued in KY
Practice address
6400 Dutchmans Pkwy Ste 250
Louisville, KY 40205-3354
Phone
(502) 587-9660
NPI assigned
Apr 17, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 4, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X 01085351A IN
Nephrology Physician 207RN0300X TP640 KY Primary

Addresses

Primary practice location

6400 Dutchmans Pkwy Ste 250
Louisville, KY 40205-3354

Mailing address

6400 Dutchmans Pkwy Ste 250
Louisville, KY 40205-3354

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY, IN2 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
I20201124000245 KY Practitioner - Nephrology 7517039258 Reassigns benefits to 1 organization
I20210119001695 IN Practitioner - Nephrology 7517039258 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nephrology
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Nephrology Associates of Kentuckiana PSCGroup PAC ID 4183522618, 38 clinicians

Practice addresses (Care Compare)

1263 Hospital Dr NW
Corydon, IN 47112-2172
Phone (812) 738-4251

6400 Dutchmans Pkwy
Suite 250
Louisville, KY 40205-3354
Phone (502) 587-9660

Hospital & facility affiliations

  • FMC - Suburban Dialysis facility, Louisville, KY, CCN 182534
  • FMC - Southern Indiana Dialysis facility, Clarksville, IN, CCN 152504
  • FMC - Dialysis Services of Audubon Dialysis facility, Louisville, KY, CCN 182521
  • Dialyze Direct Louisville, KY Dialysis facility, Louisville, KY, CCN 182646
  • Baptist Health Louisville Hospital, Louisville, KY, CCN 180130
  • Norton Hospitals, Inc Hospital, Louisville, KY, CCN 180088
  • Baptist Health Floyd Hospital, New Albany, IN, CCN 150044
  • Norton Clark Hospital Hospital, Jeffersonville, IN, CCN 150009
  • Baptist Health Lagrange Hospital, La Grange, KY, CCN 180138

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
04-32980KSMDInternal Medicine Physician
6470KSMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Nephrology Associates of Kentuckiana PSC Nephrology CurrentSince Oct 20, 2020 Accepting new patients

Locations

1263 Hospital Dr NW
Corydon, IN 47112
Phone (502) 891-8575

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

911 N Shelby St
Salem, IN 47167
Phone (812) 883-5881

6400 Dutchmans Pkwy
Ste 250
Louisville, KY 40205
Phone 5025879660239

Interoperability endpoints

  • Direct secure messaging: belhaddad31810@direct.acumenmd.com

Organizations & group practices 1

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

Hospital & facility affiliations 21

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

View all 21

NPI Registry JSON

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

{
    "created_epoch": "1176768000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788480000000",
    "number": "1710103080",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6400 DUTCHMANS PKWY STE 250",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402053354"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6400 DUTCHMANS PKWY STE 250",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402053354",
            "telephone_number": "502-587-9660"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EL-HADDAD",
        "first_name": "BOUTROS",
        "middle_name": "NASRI",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-04-17",
        "last_updated": "2026-09-04",
        "certification_date": "2026-09-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "IN",
            "license": "01085351A",
            "primary": false
        },
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "KY",
            "license": "TP640",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Louisville, KY

Sources for this page

Verify at the official NPI Registry.