NPIMap

Individual provider Active NPI

Ayman A Geneidy, M.D.

  • Nephrology Physician
  • Danville, KY
National Provider Identifier
1760572853
Registry record updated May 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
43832 Issued in KY
Practice address
150 War Admiral Ste 4
Danville, KY 40422-8690
Phone
(859) 236-6300
Fax
(859) 236-6308
NPI assigned
Oct 13, 2006
Last updated
May 2, 2024By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 2, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X 43832 KY Primary

Addresses

Primary practice location

150 War Admiral Ste 4
Danville, KY 40422-8690

Mailing address

150 War Admiral Ste 4
Danville, KY 40422-8690
Phone (859) 236-6300

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101209001348 KY Practitioner - NephrologyPractitioner - Internal Medicine 8820028053 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nephrology
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Central Kentucky Kidney Care LLCGroup PAC ID 2769927458, 4 clinicians

Practice addresses (Care Compare)

1038 Burlington LN B
Frankfort, KY 40601-8484
Phone (859) 235-6300

1451 Harrodsburg Rd
Suite D304
Lexington, KY 40504-3773
Phone (859) 235-6300

150 War Admiral
Danville, KY 40422-8690
Phone (859) 235-6300

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
69.66 of 100Reported as group
Quality
39.23
Promoting interoperability
99
Improvement activities
40
Cost
43.79

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
43832KYMDNephrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Central Kentucky Kidney Care LLC Nephrology CurrentSince May 14, 2024 Accepting new patients
Nra-Orangeburg, South Carolina, LLC Past Accepting new patients

Locations

150 War Admiral
Ste 4
Danville, KY 40422
Phone (859) 235-6300

1038 Burlington Ln
Ste B
Frankfort, KY 40601
Phone (502) 223-5918

1451 Harrodsburg Rd
Ste D304
Lexington, KY 40504
Phone (859) 317-1673

Interoperability endpoints

  • Direct secure messaging: ageneidy289370@direct.stlukeshealth.org
  • FHIR API: https://fhir4.healow.com/fhir/r4/JIHEDD

Organizations & group practices 2

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 16

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

View all 16

NPI Registry JSON

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

{
    "created_epoch": "1160697600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714608000000",
    "number": "1760572853",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "150 WAR ADMIRAL STE 4",
            "city": "DANVILLE",
            "state": "KY",
            "postal_code": "404228690",
            "telephone_number": "859-236-6300",
            "fax_number": "859-236-6308"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 WAR ADMIRAL STE 4",
            "city": "DANVILLE",
            "state": "KY",
            "postal_code": "404228690",
            "telephone_number": "859-236-6300",
            "fax_number": "859-236-6308"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GENEIDY",
        "first_name": "AYMAN",
        "middle_name": "A",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-13",
        "last_updated": "2024-05-02",
        "certification_date": "2024-05-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "KY",
            "license": "43832",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Danville, KY

Sources for this page

Verify at the official NPI Registry.