NPIMap

Individual provider Active NPI

Nizar M. Attallah, M.D.

  • Nephrology Physician
  • Louisville, KY
National Provider Identifier
1952333908
Registry record updated Sep 5, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
41654 Issued in KY
Practice address
6400 Dutchmans Pkwy
Stuite 250
Louisville, KY 40205-3340
Phone
(502) 587-9660
Fax
(502) 540-5615
NPI assigned
Jul 7, 2006
Last updated
Sep 5, 2008By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 5, 2008

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X 41654 KY Primary
Nephrology Physician 207RN0300X 01064835A IN

Addresses

Primary practice location

6400 Dutchmans Pkwy
Stuite 250
Louisville, KY 40205-3340

Mailing address

6400 Dutchmans Pkwy
Stuite 250
Louisville, KY 40205-3340
Phone (502) 587-9660

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY, IN2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20080624000777 KY Practitioner - NephrologyPractitioner - Internal Medicine 9537163779 Reassigns benefits to 2 organizations
I20080625000234 IN Practitioner - NephrologyPractitioner - Internal Medicine 9537163779 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
NephrologyAlso: Internal Medicine
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Nephrology Associates of Kentuckiana PSCGroup PAC ID 4183522618, 38 clinicians
University of KentuckyGroup PAC ID 3072425289, 778 clinicians

Practice addresses (Care Compare)

1919 State St
Suite 444
New Albany, IN 47150-6809
Phone (812) 941-8191

3 Audubon Plaza Dr
Louisville, KY 40217-1300
Phone (502) 636-4950

6400 Dutchmans Pkwy
Suite 250
Louisville, KY 40205-3354
Phone (502) 587-9660

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
01064835AINMDNephrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Nephrology Associates of Kentuckiana PSC Nephrology CurrentSince Jul 1, 2008 Accepting new patients

Locations

1919 State St
Ste 150
New Albany, IN 47150
Phone (812) 944-3265

1919 State St
Ste 444
New Albany, IN 47150
Phone (502) 368-9590

6400 Dutchmans Pkwy
Ste 250
Louisville, KY 40205
Phone 5025879660239

Interoperability endpoints

  • Direct secure messaging: nattallah41998@direct.acumenmd.com

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 41

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

View all 41

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": "1220572800000",
    "number": "1952333908",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6400 DUTCHMANS PKWY",
            "address_2": "STUITE 250",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402053340",
            "telephone_number": "502-587-9660",
            "fax_number": "502-540-5615"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6400 DUTCHMANS PKWY",
            "address_2": "STUITE 250",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402053340",
            "telephone_number": "502-587-9660",
            "fax_number": "502-540-5615"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ATTALLAH",
        "first_name": "NIZAR",
        "middle_name": "M.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-07",
        "last_updated": "2008-09-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "KY",
            "license": "41654",
            "primary": true
        },
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "IN",
            "license": "01064835A",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Louisville, KY

Sources for this page

Verify at the official NPI Registry.