NPIMap

Individual provider Active NPI

Ginius Pradhan, M.D.

  • Nephrology Physician
  • Louisville, KY
National Provider Identifier
1952652307
Registry record updated Jul 21, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
48314 Issued in KY
Practice address
721 S Preston St FL 2
Louisville, KY 40203-2319
Phone
(502) 583-1799
Fax
(502) 583-1792
NPI assigned
Sep 25, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2023

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 01075207A IN
Nephrology Physician 207RN0300X 48314 KY Primary

Addresses

Primary practice location

721 S Preston St FL 2
Louisville, KY 40203-2319

Mailing address

721 S Preston St FL 2
Louisville, KY 40203-2319
Phone (502) 583-1799

Other practice location 1

630 Broadway St
Madison, IN 47250-3310
Phone (502) 583-1799

Other identifiers 2

IdentifierTypeStateIssuer
201287420MedicaidIN
7100358460MedicaidKY

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
I20150602001242 KY Practitioner - Nephrology 5092036145 Reassigns benefits to 1 organization
I20150612000565 IN Practitioner - Nephrology 5092036145 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nephrology
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Bluegrass Kidney Consultants PSCGroup PAC ID 0840357646, 19 clinicians

Practice addresses (Care Compare)

1505 S 7TH St
Louisville, KY 40208-1710
Phone (502) 583-1799

1919 State St
Suite 444
New Albany, IN 47150-6809
Phone (502) 583-1799

4114 Browns LN
Louisville, KY 40220-1534
Phone (502) 583-1799

4604 Greenwood Rd
Louisville, KY 40258-3726
Phone (502) 583-1799

630 N Broadway St
Kings Daughter Prof Building
Madison, IN 47250-3310
Phone (502) 583-1799

721 S Preston St
Louisville, KY 40203-2319
Phone (502) 583-1799

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
48314KYMDNephrology Physician

Organizations & group practices 1

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 44

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

View all 44

NPI Registry JSON

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

{
    "created_epoch": "1348531200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689897600000",
    "number": "1952652307",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "721 S PRESTON ST FL 2",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402032319",
            "telephone_number": "502-583-1799",
            "fax_number": "502-583-1792"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "721 S PRESTON ST FL 2",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402032319",
            "telephone_number": "502-583-1799",
            "fax_number": "502-583-1792"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "630 Broadway St",
            "address_purpose": "LOCATION",
            "city": "Madison",
            "state": "IN",
            "postal_code": "472503310",
            "country_code": "US",
            "telephone_number": "502-583-1799",
            "fax_number": "502-583-1792",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PRADHAN",
        "first_name": "GINIUS",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-09-25",
        "last_updated": "2023-07-21",
        "certification_date": "2023-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "IN",
            "license": "01075207A",
            "primary": false
        },
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "KY",
            "license": "48314",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "201287420",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100358460",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Louisville, KY

Sources for this page

Verify at the official NPI Registry.