MONTGOMERY KIDNEY SPECIALISTS, LLP
NPI 1356452403
Specialist in Montgomery, AL
NPI Status: Active since August 31, 2006
Contact Information
2034 CHESTNUT ST
MONTGOMERY, AL
ZIP 36106
Phone: (334) 269-0212
Fax: (334) 269-2144
- Organization
- Specialist
- Accepts Insurance
- CLIA Number: 01D0693345
- CLIA Cert. Type: Physician Office
- CLIA Exp. Date: 12-22-2025
About MONTGOMERY KIDNEY SPECIALISTS, LLP
This page provides the complete NPI Profile along with additional information for Montgomery Kidney Specialists, Llp, a provider established in Montgomery, Alabama operating as a Specialist. The healthcare provider is registered in the NPI registry with number 1356452403 assigned on August 2006. The practitioner's primary taxonomy code is 174400000X. The provider is registered as an organization and their NPI record was last updated 3 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 provider's former legal business name is Montgomery Kidney Specialists. The authorized official of this NPI record is Rafael A. Lopez Md (Owner/partner)
- NPI
- 1356452403
- Provider Legal Name
- MONTGOMERY KIDNEY SPECIALISTS, LLP
- Other Organization Name
- MONTGOMERY KIDNEY SPECIALISTS
- Other Name Type
- Former Legal Business Name (4)
- Entity Type
- Organization
- Location Address
- 2034 CHESTNUT ST MONTGOMERY, AL 36106
- Location Phone
- (334) 269-0212
- Location Fax
- (334) 269-2144
- Mailing Address
- 2034 CHESTNUT ST MONTGOMERY, AL 36106
- Mailing Phone
- (334) 269-0212
- Mailing Fax
- (334) 269-2144
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 08-31-2006
- Last Update Date
- 08-23-2022
- 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 - 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
- Focused Silver - HMO
- Focused Silver + Vision + Adult Dental - HMO
- Standard Expanded Bronze - HMO
- Standard Expanded Bronze + Vision + Adult Dental - HMO
- Standard Gold - HMO
- Standard Gold + Vision + Adult Dental - HMO
- Standard Silver - HMO
- Complete Gold - HMO
- Complete Gold + Vision + Adult Dental - HMO
- Elite Bronze - HMO
- Elite Bronze + Vision + Adult Dental - HMO
- Elite Silver - HMO
- Elite Silver + Vision + Adult Dental - HMO
- Enhanced Diabetes Care Silver with $0 Drug Options - HMO
- Enhanced Diabetes Care Silver with $0 Drug Options + Vision + Adult Dental - HMO
- Everyday Bronze - HMO
- Everyday Bronze + Vision + Adult Dental - HMO
- Everyday Gold - HMO
- Everyday Gold + Vision + Adult Dental - HMO
- Focused Silver - HMO
- Focused Silver + Vision + Adult Dental - HMO
- Standard Expanded Bronze - HMO
- Standard Expanded Bronze + Vision + Adult Dental - HMO
- Standard Gold - HMO
- Standard Gold + Vision + Adult Dental - HMO
- Standard Silver - 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
- Focused Silver - EPO
- Focused Silver + Vision + Adult Dental - EPO
- Standard Expanded Bronze - EPO
- Standard Expanded Bronze + Vision + Adult Dental - EPO
- Standard Gold - EPO
- Standard Gold + Vision + Adult Dental - EPO
- Standard Silver - 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
- Everyday Gold + Vision + Adult Dental - EPO
- Focused Silver - EPO
- Focused Silver + Vision + Adult Dental - EPO
- Standard Expanded Bronze - EPO
- Standard Expanded Bronze + Vision + Adult Dental - EPO
- Standard Gold - EPO
- Standard Gold + Vision + Adult Dental - EPO
- Standard Silver - EPO
- Standard Silver + Vision + Adult Dental - EPO
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
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
- 01D0693345
- Facility Type
- Physician Office
- Certificate Effective Date
- December 23, 2023
- Certificate Expiration Date
- December 22, 2025
- Laboratory Director
- LUIS F. ARDON MD
- Certificate Type
- Certificate for Provider-Performed Microscopy Procedures (PPMP)
- Certificate Type Description
- This CLIA certificate is issued to Montgomery Kidney Specialists, Llp in which a physician, midlevel practitioner or dentist that performs specific microscopy procedures during the course of a patient's visit. A limited list of provider-performed microscopy procedures is included under this certificate type, which are categorized as moderate complexity testing.
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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. | |||||||||
| 1 | 3 | 5 | 6 | 4 | 5 | 2 | 4 | 0 | 3 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 3 | 10 | 6 | 8 | 5 | 4 | 4 | 0 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 3 + 1 + 0 + 6 + 8 + 5 + 4 + 4 + 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 = 3 | 3 | ||||||||
The NPI number 1356452403 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 7 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1700890936 | RAFAEL A LOPEZ M.D. Individual | Specialist | 2034 CHESTNUT ST MONTGOMERY, AL 36106 (334) 269-0212 |
| 1104830348 | MICHAEL H. BRODER D.O. Individual | Specialist | 2034 CHESTNUT ST MONTGOMERY, AL 36106 (334) 269-0212 |
| 1205916590 | CHARLES EDWIN THOMAS M.D. Individual | Internal Medicine (Nephrology) | 2034 CHESTNUT ST MONTGOMERY, AL 36106 (334) 269-0212 |
| 1063897635 | MS. SHAWONA CANNON DANIEL CRNP Individual | Nurse Practitioner (Adult Health) | 2034 CHESTNUT ST MONTGOMERY, AL 36106 (334) 269-0212 |
| 1487149134 | DR. APOORV DEOTARE MD Individual | Internal Medicine (Nephrology) | 2034 CHESTNUT ST MONTGOMERY, AL 36106 (334) 269-0212 |
| 1619794054 | MELISSA RENA HILL CRNP Individual | Nurse Practitioner (Family) | 2034 CHESTNUT ST MONTGOMERY, AL 36106 (334) 269-0212 |
| 1295197705 | DR. RAKESH KANIPAKAM MD Individual | Internal Medicine (Nephrology) | 2034 CHESTNUT ST MONTGOMERY, AL 36106 (334) 269-0212 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1356452403, enumerated in the NPI registry as an "organization" on August 31, 2006
The provider is located at 2034 Chestnut St Montgomery, Al 36106 and the phone number is (334) 269-0212
This medical organization specializes in Specialist with taxonomy code 174400000X
The provider might be accepting Accepts: Ambetter from Magnolia Health, Ambetter Health,. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
The provider's CLIA number is 01D0693345 for a "physician office" facility with a CLIA Certificate for Provider-Performed Microscopy Procedures (PPMP). This CLIA certificate is issued in which a physician, midlevel practitioner or dentist that performs specific microscopy procedures during the course of a patient's visit. A limited list of provider-performed microscopy procedures is included under this certificate type, which are categorized as moderate complexity testing..
This NPI record was last updated on August 31, 2006. 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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