KIDNEY DISEASE CONSULTANTS, P.C.
NPI 1134260870
Specialist in Southaven, MS
NPI Status: Active since February 08, 2007
Contact Information
1890 GOODMAN RD E
SUITE 101
SOUTHAVEN, MS
ZIP 38671
Phone: (662) 536-1859
- Organization
- Specialist
- Accepts Insurance
- CLIA Number: 25D2006835
- CLIA Cert. Type: Physician Office
- CLIA Exp. Date: 04-29-2026
About KIDNEY DISEASE CONSULTANTS, P.C.
This page provides the complete NPI Profile along with additional information for Kidney Disease Consultants, P.c., a provider established in Southaven, Mississippi operating as a Specialist. The healthcare provider is registered in the NPI registry with number 1134260870 assigned on February 2007. The practitioner's primary taxonomy code is 174400000X. The provider is registered as an organization and their NPI record was last updated 10 years ago. The organization operates as a single speciality business group with one or more individual providers who practice the same area of specialization. The authorized official of this NPI record is Dr. Olufemi Adeleye M.d. (President)
- NPI
- 1134260870
- Provider Name
- KIDNEY DISEASE CONSULTANTS, P.C.
- Entity Type
- Organization
- Location Address
- 1890 GOODMAN RD E SUITE 101 SOUTHAVEN, MS 38671
- Location Phone
- (662) 536-1859
- Mailing Address
- PO BOX 366 SOUTHAVEN, MS 38671
- Mailing Phone
- (662) 536-1859
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 02-08-2007
- Last Update Date
- 04-03-2015
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Specialist
- Taxonomy Code
- 174400000X
- Type
- Other Service Providers
- Taxonomy Description
- An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
Group Taxonomy 193400000X SINGLE SPECIALTY GROUP
This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Choice Bronze HSA (QualChoice) - POS
- Complete Gold - PPO
- Complete Gold + Vision + Adult Dental - PPO
- Complete Silver (QualChoice) - POS
- Connected Silver - PPO
- Connected Silver (QualChoice) - POS
- Connected Silver (QualChoiceLife) - PPO
- Connected Silver + Vision + Adult Dental - PPO
- Elite Bronze - PPO
- Elite Bronze + Vision + Adult Dental - PPO
- Complete Gold - EPO
- Complete Gold + Vision + Adult Dental - EPO
- Elite Bronze - EPO
- Elite Bronze + Vision + Adult Dental - EPO
- Elite Gold - EPO
- Elite Gold + Vision + Adult Dental - EPO
- Elite Silver - EPO
- Elite Silver + Vision + Adult Dental - EPO
- Everyday Bronze - EPO
- Everyday Bronze + Vision + Adult Dental - EPO
- Choice Bronze HSA - HMO
- Choice Bronze HSA + Vision + Adult Dental - HMO
- Complete Gold - HMO
- Complete Gold + Vision + Adult Dental - HMO
- Complete Silver - HMO
- Complete Silver + Vision + Adult Dental - HMO
- Everyday Bronze - HMO
- Everyday Bronze + Vision + Adult Dental - HMO
- Everyday Gold - HMO
- Everyday Gold + Vision + Adult Dental - HMO
- Complete Gold - EPO
- Complete Gold + Vision + Adult Dental - EPO
- Elite Bronze - EPO
- Elite Bronze + Vision + Adult Dental - EPO
- Elite Gold - EPO
- Elite Gold + Vision + Adult Dental - EPO
- Elite Silver - EPO
- Elite Silver + Vision + Adult Dental - EPO
- Everyday Bronze - EPO
- Everyday Bronze + Vision + Adult Dental - EPO
- Clear Silver - EPO
- Elite Bronze - EPO
- Elite Bronze + Vision + Adult Dental - EPO
- Elite Gold - EPO
- Elite Gold + Vision + Adult Dental - EPO
- Enhanced Diabetes Care Silver with $0 Drug Options - EPO
- Enhanced Diabetes Care Silver with $0 Drug Options + Vision + Adult Dental - EPO
- Everyday Bronze - EPO
- Everyday Bronze + Vision + Adult Dental - EPO
- Everyday Gold - EPO
- Bronze 4 - HMO
- Bronze 8 - HMO
- Gold 1 - HMO
- Gold 1 with Adult Vision Services - HMO
- Gold 8 - HMO
- Silver 1 - HMO
- Silver 1 with Adult Vision Services - HMO
- Silver 12 with First 4 Primary Care Visits Free - HMO
- Silver 8 - HMO
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 103G704791 | MEDICARE PIN (08) | TN | |
| 4093914 | OTHER (01) | TN | BCBS |
| 06530562 | MEDICAID (05) | MS | |
| 231379826 | OTHER (01) | MS | BLUE CROSS |
| C03039 | MEDICARE PIN (08) | MS | |
| 3724848 | MEDICAID (05) | TN |
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 25D2006835
- Facility Type
- Physician Office
- Certificate Effective Date
- April 30, 2024
- Certificate Expiration Date
- April 29, 2026
- Laboratory Director
- OLUFEMI ADELEYE
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Kidney Disease Consultants, P.c. to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.
Reviews for KIDNEY DISEASE CONSULTANTS, P.C.
There are currently no reviews for this provider. Be the first person to share your experience with this provider by filling out our review form. Your insights are appreciated and will help others make informed decisions.
NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 1 | 3 | 4 | 2 | 6 | 0 | 8 | 7 | 0 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 1 | 6 | 4 | 4 | 6 | 0 | 8 | 14 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 1 + 6 + 4 + 4 + 6 + 0 + 8 + 1 + 4 + 24 = 60 | |||||||||
| Step 3: because the number obtained in step 2 ends in zero, the check digit is zero. | |||||||||
| 0 | |||||||||
The NPI number 1134260870 is valid because the calculated check digit 0 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 6 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1073567251 | OLUFEMI ADELEYE M.D. Individual | Specialist | 1890 GOODMAN RD E SUITE 101 SOUTHAVEN, MS 38671 (662) 536-1892 |
| 1518046234 | OBRIEN VISION CENTER, P.A. Organization | Optometrist | 1890 GOODMAN RD E SUITE 100 SOUTHAVEN, MS 38671 (662) 772-5882 |
| 1225379050 | OLAMIDE O ADELEYE NP Individual | Nurse Practitioner | 1890 GOODMAN RD E SUITE 101 SOUTHAVEN, MS 38671 (662) 536-1892 |
| 1568815744 | REHAB TECHNOLOGY, LLC Organization | Physical Therapist | 1890 GOODMAN RD E SOUTHAVEN, MS 38671 (662) 269-0420 |
| 1447616800 | KAREN ASHABRANNER Individual | Occupational Therapist | 1890 GOODMAN RD E SUITE 201 SOUTHAVEN, MS 38671 (662) 269-0420 |
| 1700918729 | DR. CHRISTINA MARIE BROWN O.D. Individual | Optometrist | 1890 GOODMAN RD E SOUTHAVEN, MS 38671 (662) 772-5882 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1134260870, enumerated in the NPI registry as an "organization" on February 08, 2007
The provider is located at 1890 Goodman Rd E Suite 101 Southaven, Ms 38671 and the phone number is (662) 536-1859
This medical organization specializes in Specialist with taxonomy code 174400000X
The provider might be accepting Accepts: Ambetter from Arkansas Health & Wellness, Ambetter. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
The provider's CLIA number is 25D2006835 for a "physician office" facility with a CLIA Certificate of Waiver. This CLIA certificate is issued to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria..
This NPI record was last updated on February 08, 2007. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.