Isd Renal Inc

Primary specialty

End-Stage Renal Disease (ESRD) Treatment Clinic/CenterTaxonomy code 261QE0700X

Legal business name

ISD RENAL INC

Doing business as

Renal Care of Marion

Practice address

1120 State Highway 77 Ste 2
Marion, AR 72364-9046

Phone

(870) 735-4087

Fax

(870) 735-4062

NPI assigned

May 23, 2006

Last updated

Jan 23, 2025By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Samuel T. Wey

Title

VP, Licensure & Certification

Phone

(615) 341-6641

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Renal Care of Marion Doing business as

Medicare fee-for-service enrollment

Enrolled in TN

Enrollment records 1

Listed as

DaVita Renal Care Marion at HomeCCN 042573

Overall star rating

2.0 of 5

Ownership

Profit

Certified

Mar 12, 2004

Medicare certification status

ActiveFrom the Provider of Services file

Chain

DaVita

Dialysis stations

24

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Tax ID family

Renal Care of Marion88 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 1

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

• Isd Renal Inc

  dba Osceola Dialysis

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Osceola, AR
  • NPI 1174578595
  NPD tax ID

Member of 3

Organizations this organization is a member of, according to the National Provider Directory.

• Dva Healthcare Renal Care Inc

  dba Amelia Dialysis

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Amelia Court House, VA
  • NPI 1861456113

  Member Of

  NPD member
• Dva Renal Healthcare Inc

  dba Florissant Dialysis

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Saint Louis, MO
  • NPI 1740241454

  Member Of

  NPD member
• RCG Mississippi, Inc.

  dba RCG Winona

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Winona, MS
  • NPI 1225296072

  Member Of

  NPD member

Locations

Networks

• devoted network organization-a90a5608-0ba5-4598-92a3-fa05df95fa3e

All facility ownership & control disclosures 3

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

Affiliated clinicians 2

Clinicians who list this facility as an affiliation in Medicare Care Compare.

• Asif Saeed Kazmi, M.D.

  • Nephrology Physician
  • Marion, AR
  • NPI 1750501623

  Dialysis facility

  Care Compare affiliation Name & address match
• Mashhud M Mirza, M.D.

  • Nephrology Physician
  • Marion, AR
  • NPI 1528003050

  Dialysis facility

  Care Compare affiliation Name & address match

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1148342400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1737590400000",
    "number": "1003861642",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5200 VIRGINIA WAY",
            "address_2": "L&C DEPT",
            "city": "BRENTWOOD",
            "state": "TN",
            "postal_code": "370277569"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1120 STATE HIGHWAY 77 STE 2",
            "city": "MARION",
            "state": "AR",
            "postal_code": "723649046",
            "telephone_number": "870-735-4087",
            "fax_number": "870-735-4062"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ISD RENAL INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-23",
        "last_updated": "2025-01-23",
        "certification_date": "2025-01-23",
        "status": "A",
        "authorized_official_last_name": "WEY",
        "authorized_official_first_name": "SAMUEL",
        "authorized_official_middle_name": "T.",
        "authorized_official_title_or_position": "VP, LICENSURE & CERTIFICATION",
        "authorized_official_telephone_number": "615-341-6641"
    },
    "taxonomies": [
        {
            "code": "261QE0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, End-Stage Renal Disease (ESRD) Treatment",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "161607134",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Renal Care of Marion",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Renal Care of Marion",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Natasha Houston, LPC, NCC
• Natalie Yvonne Hull, MHPP
• Santanna M Huntley, RBT
• Ilsa Sanchez MD PLLC
• Makinya Inmon, MHPP
• Makedra O'Shun Ivy
• Jacinta Iwuji, NP
• Jenetix Medical Hair Solutions
• Johnny H Burns, T/a Marion Discont Pharmacy
• Arnzie Johnson, MHP

• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Marion, AR
• Providers in Marion, AR by specialty
• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.