Kumar Dialysis LLC

Primary specialty

End-Stage Renal Disease (ESRD) Treatment Clinic/CenterTaxonomy code 261QE0700X

Legal business name

KUMAR DIALYSIS LLC

Doing business as

LOUISA FORT GAY REGIONAL DIALYSIS

Practice address

2145 Highway 2565
Louisa, KY 41230-9166

Phone

(606) 638-3403

Fax

(606) 638-3404

NPI assigned

Apr 16, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Subhash Kumar, M.D.

Title

Owner Medical Director

Phone

(304) 654-8074

Specialties & licenses 1

Addresses

Other identifiers 5

Other names 1

• LOUISA FORT GAY REGIONAL DIALYSIS Doing business as

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

{
    "created_epoch": "1176681600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213747200000",
    "number": "1891910865",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1656 13TH AVE",
            "city": "HUNTINGTON",
            "state": "WV",
            "postal_code": "257013829",
            "telephone_number": "304-529-2062",
            "fax_number": "304-522-2658"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2145 HIGHWAY 2565",
            "city": "LOUISA",
            "state": "KY",
            "postal_code": "412309166",
            "telephone_number": "606-638-3403",
            "fax_number": "606-638-3404"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KUMAR DIALYSIS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-16",
        "last_updated": "2008-06-18",
        "status": "A",
        "authorized_official_last_name": "KUMAR",
        "authorized_official_first_name": "SUBHASH",
        "authorized_official_title_or_position": "OWNER MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "304-654-8074",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QE0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, End-Stage Renal Disease (ESRD) Treatment",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BCBS PROVIDER NUMB",
            "identifier": "000000494344",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3810006539",
            "state": "WV"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100007940",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PART A",
            "identifier": "182580",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "S. KUMAR INDIVIDUAL NPI",
            "identifier": "1164474425",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "LOUISA FORT GAY REGIONAL DIALYSIS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Mecia Knott, PSS
• Rebecca Annelle Koch, APRN
• Jaron Devin Kohar, PSS
• Kasey Korfhage
• Teresa Amber Dawn Kronmueller, PSS
• Kumar Dialysis LLC
• Jonathan Steven Kyle, PSS
• Kyle Lafeve
• Theresa Lafeve
• Atasha C Lafever

• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Louisa, KY
• Providers in Louisa, KY by specialty
• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.