Active NPI
Alexander Yurievich Afanasyev, MD
- Nephrology Physician
- Louisville, KY
National Provider Identifier
1972505030
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nephrology Physician
- License
- 36498
- Practice address
- 6400 Dutchmans Pkwy
Ste 250
Louisville, KY 40205-3340 - Phone
- (502) 587-9660
- Fax
- (502) 450-5615
- NPI assigned
- Jun 2, 2005
- Sex
- Male
- Sole proprietor
- No
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 | 36498 | KY | Primary |
Addresses
Primary practice location
6400 Dutchmans Pkwy
Ste 250
Louisville, KY 40205-3340
Mailing address
6400 Dutchmans Pkwy
Ste 250
Louisville, KY 40205-3340
Phone (502) 587-9660
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1140006 | Other | KY | PASSPORT |
| 000000197844 | Other | KY | ANTHEM |
| 64030448 | Medicaid | KY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KY, IN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Nephrology
- Education
- Other, 1985
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
1919 State St
Suite 103
New Albany, IN 47150-6800
Phone (812) 945-4200
6400 Dutchmans Pkwy
Suite 250
Louisville, KY 40205-3354
Phone (502) 587-9660
Hospital & facility affiliations
- FMC - Shepherdsville
- FMC - Louisville
- Norton Hospitals, Inc
- Baptist Health Louisville
- Baptist Health Floyd
- UOFL HEALTH - JEWISH HOSPITAL and Mary & Elizabeth Hospital
- Baptist Health Lagrange
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 36498 | KY | MD | Nephrology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Nephrology Associates of Kentuckiana PSC | Nephrology | Current | Accepting new patients |
Locations
1919 State St
Ste 103
New Albany, IN 47150
Phone (812) 801-0800
1919 State St
Ste 444
New Albany, IN 47150
Phone (502) 368-9590
107 Medical Park Dr
Campbellsville, KY 42718
Phone (270) 469-0923
6400 Dutchmans Pkwy
Ste 250
Louisville, KY 40205
Phone 5025879660239
Interoperability endpoints
- aafanasyev31783@direct.acumenmd.com
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 40
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Louisville, KY
- NPI 1598877326
Dialysis facility
-
- General Acute Care Hospital
- Louisville, KY
- NPI 1265539498
-
- General Acute Care Hospital
- La Grange, KY
- NPI 1306925540
-
- General Acute Care Hospital
- Louisville, KY
- NPI 1043348808
-
- General Acute Care Hospital
- Louisville, KY
- NPI 1447388335
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1117670400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1188345600000",
"number": "1972505030",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6400 DUTCHMANS PKWY",
"address_2": "STE 250",
"city": "LOUISVILLE",
"state": "KY",
"postal_code": "402053340",
"telephone_number": "502-587-9660",
"fax_number": "502-450-5615"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6400 DUTCHMANS PKWY",
"address_2": "STE 250",
"city": "LOUISVILLE",
"state": "KY",
"postal_code": "402053340",
"telephone_number": "502-587-9660",
"fax_number": "502-450-5615"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AFANASYEV",
"first_name": "ALEXANDER",
"middle_name": "YURIEVICH",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-06-02",
"last_updated": "2007-08-29",
"status": "A"
},
"taxonomies": [
{
"code": "207RN0300X",
"taxonomy_group": "",
"desc": "Internal Medicine, Nephrology",
"state": "KY",
"license": "36498",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PASSPORT",
"identifier": "1140006",
"state": "KY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM",
"identifier": "000000197844",
"state": "KY"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "64030448",
"state": "KY"
}
],
"endpoints": [],
"other_names": []
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2007; 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.