Dr Rafael Baracaldo, MD - Medicare Nephrology in Louisville, KY

Dr Rafael Baracaldo, MD is a medicare enrolled "Internal Medicine - Nephrology" physician in Louisville, Kentucky. He graduated from medical school in 2000 and has 24 years of diverse experience with area of expertise as Nephrology. He is a member of the group practice Nephrology Associates Of Kentuckiana Psc, Nephrology Associates Of Kentuckiana Psc and his current practice location is 6400 Dutchmans Pkwy Ste 250, Louisville, Kentucky. You can reach out to his office (for appointments etc.) via phone at (502) 587-9660.

Dr Rafael Baracaldo is licensed to practice in Kentucky (license number TP737) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1013151968.

Contact Information

Dr Rafael Baracaldo, MD
6400 Dutchmans Pkwy Ste 250,
Louisville, KY 40205-3354
(502) 587-9660
(502) 540-5615

Map and Direction




Physician's Profile

Full NameDr Rafael Baracaldo
GenderMale
SpecialityNephrology
Experience24 Years
Location6400 Dutchmans Pkwy Ste 250, Louisville, Kentucky
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Dr Rafael Baracaldo graduated from medical school in 2000
  NPI Data:
  • NPI Number: 1013151968
  • Provider Enumeration Date: 04/22/2009
  • Last Update Date: 12/21/2020
  Medicare PECOS Information:
  • PECOS PAC ID: 2264653013
  • Enrollment ID: I20210107002424

Medical Identifiers

Medical identifiers for Dr Rafael Baracaldo such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1013151968NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207RN0300XInternal Medicine - Nephrology 04-37029 (Kansas)Secondary
207RN0300XInternal Medicine - Nephrology TP737 (Kentucky)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Fmc-south Central LouisvilleLouisville, KYDialysis facility
Fmc - South LouisvilleLouisville, KYDialysis facility
Davita - Meadows EastLouisville, KYDialysis facility
Fmc - SouthwestValley station, KYDialysis facility
Baptist Health LouisvilleLouisville, KYHospital
Norton Hospitals, IncLouisville, KYHospital
Jewish Hospital & St Mary's HealthcareLouisville, KYHospital
Frankfort Regional Medical CenterFrankfort, KYHospital
Hardin Memorial HospitalElizabethtown, KYHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Nephrology Associates Of Kentuckiana Psc418352261835
Nephrology Associates Of Kentuckiana Psc418352261835

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Dr Rafael Baracaldo allows following entities to bill medicare on his behalf.
Entity NameNephrology Associates Of Kentuckiana Psc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1730161753
PECOS PAC ID: 4183522618
Enrollment ID: O20040204000026

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Rafael Baracaldo is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Dr Rafael Baracaldo, MD
6400 Dutchmans Pkwy Ste 250,
Louisville, KY 40205-3354

Ph: (502) 587-9660
Dr Rafael Baracaldo, MD
6400 Dutchmans Pkwy Ste 250,
Louisville, KY 40205-3354

Ph: (502) 587-9660

Reviews and Comments


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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.