LAFAYETTE KIDNEY CARE
NPI 1194074153
Internal Medicine - Nephrology in Lafayette, IN

NPI Status: Active since September 06, 2012

Contact Information

114 EXECUTIVE DR
SUITE A
LAFAYETTE, IN
ZIP 47905
Phone: (765) 446-5185
Fax: (765) 446-5186

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  • Organization
  • Internal Medicine
  • Nephrology
  • CLIA Number: 15D2047856
  • CLIA Cert. Type: Physician Office
  • CLIA Exp. Date: 10-03-2026

About LAFAYETTE KIDNEY CARE

This page provides the complete NPI Profile along with additional information for Lafayette Kidney Care, an internist established in Lafayette, Indiana operating as a Internal Medicine, focusing in nephrology . The healthcare provider is registered in the NPI registry with number 1194074153 assigned on September 2012. The practitioner's primary taxonomy code is 207RN0300X. The provider is registered as an organization and their NPI record was last updated one year ago. Lafayette Kidney Care operates as a multi-specialty business group with one or more individual providers who practice different areas of specialization. The provider's is doing business as Lafayette Kidney Care. The authorized official of this NPI record is Heather Dawson (Director Of Billing)

NPI
1194074153
Provider Legal Name
UNITY HEALTHCARE, LLC
Other Organization Name
LAFAYETTE KIDNEY CARE
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
114 EXECUTIVE DR SUITE A LAFAYETTE, IN 47905
Location Phone
(765) 446-5185
Location Fax
(765) 446-5186
Mailing Address
PO BOX 4699 LAFAYETTE, IN 47903
Mailing Phone
(765) 449-2732
Mailing Fax
(765) 446-5186
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
09-06-2012
Last Update Date
10-18-2024
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An internist like Lafayette Kidney Care is a physician who has completed an internal medicine residency and is board-certified or board-eligible in an internist specialty. Internists are trained to care for adults of all ages for many different medical conditions. An internist typically monitors chronic physical conditions, identifies acute diseases, provides family planning, provides counseling about wellness and disease prevention, etc.

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

Internal Medicine Nephrology

Taxonomy Code
207RN0300X
Type
Allopathic & Osteopathic Physicians
License State
IN
Taxonomy Description
An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.

Group Taxonomy 193200000X MULTI-SPECIALTY GROUP

This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

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.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

HEATHER DAWSON

Authorized Official Title
DIRECTOR OF BILLING
Authorized Official Phone
(765) 446-5417

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
201106800AMEDICAID (05)IN 

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
15D2047856
Facility Type
Physician Office
Certificate Effective Date
October 04, 2024
Certificate Expiration Date
October 03, 2026
Laboratory Director
DR. PAUL Y. SHIN
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Lafayette Kidney Care 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 LAFAYETTE KIDNEY CARE

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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.
1194074153
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
21184078110
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 1 + 1 + 8 + 4 + 0 + 7 + 8 + 1 + 1 + 0 + 24 = 57
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 57 = 33

The NPI number 1194074153 is valid because the calculated check digit 3 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
1780602961 CHRISTOPHER BRANDENBURG M.D.
Individual
Emergency Medicine114 EXECUTIVE DR SUITE E
LAFAYETTE, IN 47905
(260) 407-8000
1972522381 EDWARD A SEALL M.D.
Individual
Emergency Medicine114 EXECUTIVE DR SUITE E
LAFAYETTE, IN 47905
(765) 446-0170
1366532079DR. HEATH W JONES D.D.S.
Individual
Dentist (General Practice)114 EXECUTIVE DR SUITE B
LAFAYETTE, IN 47905
(765) 447-2725
1013098003DR. TRAVIS R JONES D.D.S.
Individual
Dentist (General Practice)114 EXECUTIVE DR SUITE B
LAFAYETTE, IN 47905
(765) 447-2725
1811916083 SUDHA Y RANI MD
Individual
Internal Medicine (Nephrology)114 EXECUTIVE DR SUITE A
LAFAYETTE, IN 47905
(765) 446-5187
1821011594 PAUL Y SHIN MD
Individual
Internal Medicine (Nephrology)114 EXECUTIVE DR SUITE A
LAFAYETTE, IN 47905
(765) 446-5185

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1194074153, enumerated in the NPI registry as an "organization" on September 06, 2012

The provider is located at 114 Executive Dr Suite A Lafayette, In 47905 and the phone number is (765) 446-5185

This medical organization specializes in Internal Medicine with taxonomy code 207RN0300X with a focus in Nephrology

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

The provider's CLIA number is 15D2047856 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 September 06, 2012. 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].
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