KIM RUDOLPH MCGLOTHAN (M.D.) – Nephrology Physician, NPI 1962629915

KIM RUDOLPH MCGLOTHAN (M.D.) is a healthcare provider. based in Montgomery, Alabama. specializing in NEPHROLOGY, INTERNAL MEDICINE. They hold the professional credentials M.D.. They hold a License No. 31714 (AL). The NPI Number for KIM RUDOLPH MCGLOTHAN (M.D.) is 1962629915

Main info

Female
Sole Proprietor
19 Years Of Experience
Accepts Medicare Assignment
Name
KIM RUDOLPH MCGLOTHAN (M.D.)
NPI
1962629915
Phone
(334) 288-0814
Address
4760 WOODMERE BLVD
Enumeration Date
19 April 2007
Last Update Date
6 June 2012

Doctor Profile

Medical School Name
UNIVERSITY OF TENNESSEE, HSC, COLLEGE OF MEDICINE
Secondary Phone
3342880814
Graduation Year
2007 (19 years ago)
PAC ID
5395901946
Group Practice PAC ID
6608894019
Professional Enrollment ID
I20120725000894
Address ID
AL361063065MO4760XBLVD300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

194 NEPHROLOGY in AL

Provider Addresses for KIM RUDOLPH MCGLOTHAN (M.D.)

  • 4760 WOODMERE BLVD

    MONTGOMERY, AL 361063065

    Phone: (334) 288-0814

    Fax: (334) 288-3417

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 78 Open Payments records for all available years, with a total value of $1,374.

Total Amount is formed as General ($1,374) + Research ($0) + Ownership ($0) = $1,374.

Last reported payment date: 2024-12-18 • Largest payer in this snapshot: AKEBIA THERAPEUTICS INC ($215).

Total Amount

$1,374

General + Research + Ownership

Payments

78

Total payment records

General Amount

$1,374

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-18

Latest reported date

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2012-07-25

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20120725000894INephrologyALTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
90960Dialysis services, 4 or more physician visits per month (20 years or older)371160$0
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes262101$0
99213Established patient office or other outpatient visit, 20-29 minutes180127$0
99231Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes16165$0
90935Hemodialysis procedure with physician evaluation14957$0
View full utilization report →

Insurance plans in this area (ZIP 36106)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 6608894019View full group profile
NameSpecialtyState
N E P H R O L O G YAL
Nephrology, Internal MedicineCO
N E P H R O L O G YAL
Nephrology, Internal MedicineAL
N E P H R O L O G YAL
N E P H R O L O G YMT
Nurse PractitionerAL
-AL
Physician AssistantGA

Reviews

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Frequently asked questions

What is the registry number for KIM RUDOLPH MCGLOTHAN (M.D.)?
The registry entry for KIM RUDOLPH MCGLOTHAN (M.D.) shows NPI 1962629915.
Is KIM RUDOLPH MCGLOTHAN (M.D.)'s NPI status active today?
Active status means KIM RUDOLPH MCGLOTHAN (M.D.)'s NPI record is not deactivated in the public file.
How should patients interpret KIM RUDOLPH MCGLOTHAN (M.D.)'s specialty?
The extract shows Nephrology Physician for KIM RUDOLPH MCGLOTHAN (M.D.). Clinical services aligned with this taxonomy classification.
What geographic area is tied to KIM RUDOLPH MCGLOTHAN (M.D.)?
KIM RUDOLPH MCGLOTHAN (M.D.) is associated with Montgomery, Alabama in the same public data insurers reference.
Who maintains KIM RUDOLPH MCGLOTHAN (M.D.)'s record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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