Active NPI
Stephanie Dailey, M.D.
- Nephrology Physician
- Louisville, KY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nephrology Physician
- License
- 40826
- Practice address
- 716 W Broadway
Louisville, KY 40202-2216 - Phone
- (502) 595-7744
- Fax
- (502) 595-7007
- NPI assigned
- Jul 7, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | R0718 | KY | |
| Nephrology Physician | 207RN0300X | 40826 | KY | Primary |
| Nephrology Physician | 207RN0300X | 01067545A | IN |
Addresses
Primary practice location
716 W Broadway
Louisville, KY 40202-2216
Mailing address
716 W Broadway
Louisville, KY 40202-2216
Phone (502) 238-9911
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7100008510 | Medicaid | KY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KY, IN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20070227000538 | KY | Practitioner - Nephrology | 6800998501 | Reassigns benefits to 1 organization |
| I20091210000236 | IN | Practitioner - Nephrology | 6800998501 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Nephrology
- Education
- University of Louisville School of Medicine, 2003
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Kidney Care Consultants PSC
Practice addresses (Care Compare)
207 Sparks Ave
Jeffersonville, IN 47130-3739
Phone (502) 595-7744
716 W Broadway
Louisville, KY 40202-2216
Phone (502) 425-9121
Hospital & facility affiliations
- DaVita Springhurst Dialysis
- DaVita Meadows East Dialysis
- Norton Hospitals, Inc
- Baptist Health Louisville
- UOFL HEALTH - JEWISH HOSPITAL and Mary & Elizabeth Hospital
- Baptist Health Floyd
- Baptist Health Lagrange
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kidney Care Consultants, PSC | Nephrology | Current | Accepting new patients |
| Farnolle Dialysis LLC | Past | Accepting new patients | |
| Marshall Emergency Services Associates, PLLC | Emergency Medicine | Past | Accepting new patients |
| Saguaro Dialysis LLC | Past | Accepting new patients |
Locations
1263 Hospital Dr NW
Ste 100
Corydon, IN 47112
Phone (502) 888-1988
313 Federal Dr NW
Ste 10
Corydon, IN 47112
Phone (502) 937-2209
207 Sparks Ave
Ste 404
Jeffersonvlle, IN 47130
Phone (812) 218-3212
1919 State St
Ste 444
New Albany, IN 47150
Phone (502) 368-9590
1401 N Gardner St
Scottsburg, IN 47170
Phone (812) 752-1178
309 11th St
Carrollton, KY 41008
Phone (502) 732-3241
1023 New Moody Ln
Ste 202
Lagrange, KY 40031
Phone (502) 222-3452
4001 Kresge Way
Bldg G
Louisville, KY 40207
4402 Churchman Ave
Ste 400
Louisville, KY 40215
3950 Kresge Way
Ste 103
Louisville, KY 40207
Phone (502) 895-2489
9720 Park Plaza Ave
Unit 104
Louisville, KY 40241
Phone (502) 425-9138
5801 Preston Hwy
Louisville, KY 40219
Phone (502) 308-3432
3906 S DuPont Sq
Ste E
Louisville, KY 40207
Phone (502) 893-6654
10216 Taylorsville Rd
Ste 850
Louisville, KY 40299
Phone (502) 240-0315
8037 Dixie Hwy
Louisville, KY 40258
Phone (502) 937-9111
716 W Broadway
Louisville, KY 40202
Phone (502) 222-3449
50 Church View St
Shelbyville, KY 40065
Phone (502) 647-0127
1903 W Hebron Ln
Ste 202
Shepherdsville, KY 40165
Interoperability endpoints
- stephanie.dailey@direct.davitaphysiciansolutions.com
Organizations & group practices 4
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.
-
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Louisiville, KY
- NPI 1376138230
-
- Emergency Medicine Physician
- Lexington, KY
- NPI 1891737185
Emergency Medicine
-
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Shelbyville, KY
- NPI 1215309778
Hospital & facility affiliations 40
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Louisville, KY
- NPI 1730123068
Dialysis facility
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152230400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1410134400000",
"number": "1790717767",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "716 W BROADWAY",
"city": "LOUISVILLE",
"state": "KY",
"postal_code": "402022216",
"telephone_number": "502-238-9911",
"fax_number": "502-238-9912"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "716 W BROADWAY",
"city": "LOUISVILLE",
"state": "KY",
"postal_code": "402022216",
"telephone_number": "502-595-7744",
"fax_number": "502-595-7007"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DAILEY",
"first_name": "STEPHANIE",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-07",
"last_updated": "2014-09-08",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "KY",
"license": "R0718",
"primary": false
},
{
"code": "207RN0300X",
"taxonomy_group": "",
"desc": "Internal Medicine, Nephrology",
"state": "KY",
"license": "40826",
"primary": true
},
{
"code": "207RN0300X",
"taxonomy_group": "",
"desc": "Internal Medicine, Nephrology",
"state": "IN",
"license": "01067545A",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7100008510",
"state": "KY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Louisville, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.