Active NPI
Kim Rudolph McGlothan, M.D.
- Nephrology Physician
- Montgomery, AL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nephrology Physician
- License
- 31714
- Practice address
- 4760 Woodmere Blvd
Montgomery, AL 36106-3065 - Phone
- (334) 288-0814
- Fax
- (334) 288-3417
- NPI assigned
- Apr 19, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nephrology Physician | 207RN0300X | 31714 | AL | Primary |
Addresses
Primary practice location
4760 Woodmere Blvd
Montgomery, AL 36106-3065
Mailing address
4760 Woodmere Blvd
Montgomery, AL 36106-3065
Phone (334) 288-0814
Other names 1
- Kim La'Chet Rudolph
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nephrology
- Education
- University of Tennessee, HSC, College of Medicine, 2007
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1412 Elba Hwy
Troy, AL 36079-6020
Phone (334) 288-0814
44 Medical Arts CT
Greenville, AL 36037-3869
Phone (334) 288-0814
4760 Woodmere Blvd
Montgomery, AL 36106-3065
Phone (334) 288-0814
556 McQueen Smith Rd N
Prattville, AL 36066-5558
Phone (334) 288-0814
Hospital & facility affiliations
- FMC of Taylor Road
- FMC Tallassee
- Baptist Medical Center South
- Baptist Medical Center East
- Prattville Baptist Hospital
- Jackson Hospital & Clinic Inc
- The Health Care Authority of the City of Greenville- LV Stabler Hospital
- Encompass Rehabilitation Hospital of Montgomery
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 31714 | AL | MD | Nephrology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Renal Associates of Montgomery, P.C. | Nephrology | Current | Accepting new patients |
Locations
350 Paul Stabler Dr
Greenville, AL 36037
Phone (334) 383-0006
4760 Woodmere Blvd
Montgomery, AL 36106
Phone (334) 288-0814
1412 Elba Hwy
Troy, AL 36079
Phone (334) 288-0814
606 Botts Ave
Troy, AL 36081
Phone (334) 434-5193
Interoperability endpoints
- kim.mcglothan@ram.eclinicaldirectplus.com
- https://fhir4.healow.com/fhir/r4/HGHAAA
- kim.mcglothan@direct.baptistfirst.org
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.
-
- Nephrology Physician
- Montgomery, AL
- NPI 1881659423
Hospital & facility affiliations 8
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Tallassee, AL
- NPI 1356732424
Dialysis facility
-
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Montgomery, AL
- NPI 1447531686
Dialysis facility
-
- Rehabilitation Hospital
- Montgomery, AL
- NPI 1902879612
Inpatient rehabilitation facility
-
- General Acute Care Hospital
- Montgomery, AL
- NPI 1104917780
-
- General Acute Care Hospital
- Montgomery, AL
- NPI 1700977105
-
- General Acute Care Hospital
- Montgomery, AL
- NPI 1043262488
-
- General Acute Care Hospital
- Prattville, AL
- NPI 1942391230
-
- General Acute Care Hospital
- Greenville, AL
- NPI 1780655332
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1176940800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1338940800000",
"number": "1962629915",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4760 WOODMERE BLVD",
"city": "MONTGOMERY",
"state": "AL",
"postal_code": "361063065",
"telephone_number": "334-288-0814",
"fax_number": "334-288-3417"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4760 WOODMERE BLVD",
"city": "MONTGOMERY",
"state": "AL",
"postal_code": "361063065",
"telephone_number": "334-288-0814",
"fax_number": "334-288-3417"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCGLOTHAN",
"first_name": "KIM",
"middle_name": "RUDOLPH",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-04-19",
"last_updated": "2012-06-06",
"status": "A"
},
"taxonomies": [
{
"code": "207RN0300X",
"taxonomy_group": "",
"desc": "Internal Medicine, Nephrology",
"state": "AL",
"license": "31714",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "KIM",
"last_name": "RUDOLPH",
"middle_name": "LA'CHET",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Montgomery, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.