Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Boutros Nasri El-Haddad, MD

Individual provider Internal Medicine Physician · NPI 1710103080

Boutros Nasri El-Haddad, MD is a Nephrology in Louisville, Kentucky. Qualified in 2002, 24 years ago. Practices with Nephrology Associates of Kentuckiana PSC, a 38-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Kansas and Kentucky.

Years since qualifying
24
Licensed in
KS, KY
In the registry since
2007
Specialties on file
4
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

6400 Dutchmans Pkwy Ste 250
Louisville, KY 40205-3354
Phone: (502) 587-9660
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nephrology Physician (primary) Taxonomy 207RN0300X · Licence TP640 (KY)
Internal Medicine Physician Taxonomy 207R00000X · Licence 6470 (KS)
Internal Medicine Physician Taxonomy 207R00000X · Licence 04-32980 (KS)
Hospitalist Physician Taxonomy 208M00000X · Licence 04-32980 (KS)

Record details

NPI number1710103080
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedApril 17, 2007
Last updated in NPPESDecember 9, 2020
Certification dateDecember 9, 2020

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNEPHROLOGY
Medical schoolOTHER
Graduated 2002 (24 years in practice)
Group practice Nephrology Associates Of Kentuckiana Psc — 38 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

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