NPIMap

Organization Active NPI

Kidney Associates of the Tristate

  • Nephrology Physician
  • Florence, KY
National Provider Identifier
1831730183
Registry record updated Mar 1, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
Legal business name
KIDNEY ASSOCIATES OF THE TRISTATE
Practice address
6909 Burlington Pike Ste B
Florence, KY 41042-1618
Phone
(859) 912-7716
NPI assigned
Oct 7, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 1, 2022

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

Authorized official

Name
Dr. Ai Tran, MDNPI 1316149412
Title
Director
Phone
(859) 806-4876

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RN0300X Primary
Clinic/Center 261Q00000X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center 261QE0700X

Addresses

Primary practice location

6909 Burlington Pike Ste B
Florence, KY 41042-1618

Mailing address

PO Box 6018
Florence, KY 41022-6018
Phone (502) 662-6094

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY, IN2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20191212002113 KY Part B Supplier - Clinic/Group Practice 3072946656 Receives reassigned benefits from 5 practitioners
Practice locations: Williamstown, KY; Walton, KY; Southgate, KY; Fort Thomas, KY; Florence, KY; Edgewood, KY; Carrollton, KY; Cold Spring, KY…
O20210615000319 IN Part B Supplier - Clinic/Group Practice 3072946656 Receives reassigned benefits from 2 practitioners
Practice locations: Lawrenceburg, IN

National Provider Directory

National Provider Directory

Locations

329 Floyd Dr
Ste B
Carrollton, KY 41008
Phone (502) 732-4713

430 Cross Roads Blvd
Cold Spring, KY 41076
Phone (859) 441-3981

210 Thomas More Pkwy
Ste 1
Crestview Hills, KY 41017
Phone (859) 331-0167

6909 Burlington Pike
#B
Florence, KY 41042
Phone (502) 662-6094

6909 Burlington Pike
Florence, KY 41042

20 N Grand Ave
Ste 2
Fort Thomas, KY 41075
Phone (606) 781-9100

85 N Grand Ave
#3
Fort Thomas, KY 41075

525 Alexandria Pike
Ste 120
Southgate, KY 41071
Phone (859) 344-5050

Practitioners & affiliated clinicians

Practitioners 5

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

NPI Registry JSON

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

{
    "created_epoch": "1570406400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1646092800000",
    "number": "1831730183",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 6018",
            "city": "FLORENCE",
            "state": "KY",
            "postal_code": "410226018",
            "telephone_number": "502-662-6094",
            "fax_number": "859-495-0046"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6909 BURLINGTON PIKE STE B",
            "city": "FLORENCE",
            "state": "KY",
            "postal_code": "410421618",
            "telephone_number": "859-912-7716"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KIDNEY ASSOCIATES OF THE TRISTATE",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-10-07",
        "last_updated": "2022-03-01",
        "certification_date": "2022-03-01",
        "status": "A",
        "authorized_official_last_name": "TRAN",
        "authorized_official_first_name": "AI",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "859-806-4876",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Nephrology",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QE0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, End-Stage Renal Disease (ESRD) Treatment",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Florence, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2022; 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.