Individual provider Active NPI

Kavita Luthra, M.D

  • Nephrology Physician
  • Jackson, MI
National Provider Identifier
1821151598
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
4301069837 Issued in MI
Practice address
900 E Michigan Ave Ste 104
Jackson, MI 49201-2490
Phone
(517) 788-7866
Fax
(517) 796-9339
NPI assigned
Dec 18, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 4301069837 MI Primary

Addresses

Primary practice location

900 E Michigan Ave Ste 104
Jackson, MI 49201-2490

Mailing address

900 E Michigan Ave Ste 104
Jackson, MI 49201-2490
Phone (517) 788-7866

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050107000859 MI Practitioner - Orthopedic Surgery 7214985001 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
Other, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Kidney and Hypertension Specialists PLLCGroup PAC ID 0244288025, 3 clinicians

Practice addresses (Care Compare)

109 S Elm Ave
Jackson, MI 49203-1914
Phone (517) 788-7866

128 N Elm St
Fresenius
Jackson, MI 49202-3502
Phone (517) 787-1893

200 S E Ave
US Renal
Jackson, MI 49201-2414
Phone (517) 788-8727

234 W Louis Glick Hwy
Davita
Jackson, MI 49201-1326
Phone (517) 841-1712

Hospital & facility affiliations

  • Fresenius Medical Care - Jackson Oaks Dialysis facility, Jackson, MI, CCN 232662
  • FMC - Hillsdale Dialysis facility, Jonesville, MI, CCN 232682
  • DaVita Jackson Dialysis Dialysis facility, Jackson, MI, CCN 232571
  • Oaklawn Dialysis Center of Albion, LLC Dialysis facility, Albion, MI, CCN 232716
  • Fresenius Kidney Care Jackson Home Dialysis facility, Jackson, MI, CCN 232750
  • Henry Ford Allegiance Health Hospital, Jackson, MI, CCN 230092
  • Hillsdale Hospital Hospital, Hillsdale, MI, CCN 230037

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4301069837MIMDNephrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Kidney and Hypertension Specialists PLLC CurrentSince Sep 1, 2004 Accepting new patients
Michigan Institute of Neurological Diseases, PLLC Past Accepting new patients

Locations

200 S East Ave
Jackson, MI 49201
Phone (517) 788-8727

109 S Elm Ave
Jackson, MI 49203
Phone (517) 788-7866

900 E Michigan Ave
Ste 104
Jackson, MI 49201
Phone (517) 788-7866

Interoperability endpoints

  • Direct secure messaging: kluthra462344@direct.hfhs.org

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 and National Provider Directory roles.

Hospital & facility affiliations 6

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

NPI Registry JSON

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

{
    "created_epoch": "1166400000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1821151598",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "900 E MICHIGAN AVE STE 104",
            "city": "JACKSON",
            "state": "MI",
            "postal_code": "492012490",
            "telephone_number": "517-788-7866",
            "fax_number": "517-796-9339"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 E MICHIGAN AVE STE 104",
            "city": "JACKSON",
            "state": "MI",
            "postal_code": "492012490",
            "telephone_number": "517-788-7866",
            "fax_number": "517-796-9339"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUTHRA",
        "first_name": "KAVITA",
        "credential": "M.D",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-12-18",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "MI",
            "license": "4301069837",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jackson, MI

Sources for this page

Verify at the official NPI Registry.