Ara-Orange Park LLC

Primary specialty

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

Legal business name

ARA-ORANGE PARK LLC

Doing business as

Northeast Florida Dialysis Center

Practice address

2141 Loch Rane Blvd Ste 112&115
Orange Park, FL 32073-5723

Phone

(904) 272-7331

Fax

(904) 272-9425

NPI assigned

Jul 13, 2006

Last updated

May 14, 2026By 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

Mrs. Sara Anne Brady

Title

Chief Nursing Officer

Phone

(208) 371-7878

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Northeast Florida Dialysis Center Doing business as

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Listed as

Northeast Florida Dialysis CenterCCN 102591

Overall star rating

3.0 of 5

Ownership

Profit

Certified

Feb 9, 1988

Medicare certification status

ActiveFrom the Provider of Services file

Chain

American Renal Associates

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

Locations

Networks

• Freedom Health HMO NetworkPlans: Freedom Platinum Rewards Plan Rx (HMO) (H5427-102-000, H5427); Freedom VIP Care (HMO C-SNP) (H5427-070-000, H5427); Freedom VIP Rewards (HMO C-SNP) (H5427-108-000, H5427); Freedom VIP Rewards (HMO C-SNP) (H5427-099-000, H5427); Freedom Platinum Rewards Plan Rx (HMO) (H5427-107-000, H5427); Freedom Máximo (HMO-POS) (H5427-113-000, H5427); Freedom Savings Plan (HMO) (H5427-052-000, H5427); Freedom Platinum Rewards Plan Rx (HMO) (H5427-096-000, H5427); Freedom Platinum Rewards Plan Rx (HMO) (H5427-105-000, H5427); Freedom Medi-Medi Full (HMO D-SNP) (H5427-087-000, H5427)…
• Optimum HealthCare HMO NetworkPlans: Optimum Diamond Rewards (HMO C-SNP) (H5594-028-000, H5594); Optimum Diamond (HMO C-SNP) (H5594-036-000, H5594); Optimum Diamond Rewards (HMO C-SNP) (H5594-034-000, H5594); Optimum Diamond Rewards COPD (HMO C-SNP) (H5594-029-000, H5594); Optimum Platinum Plan (HMO) (H5594-002-000, H5594); Optimum Gold Plus Plan (HMO) (H5594-032-000, H5594); Optimum Diamond Savings COPD (HMO C-SNP) (H5594-031-000, H5594); Optimum Diamond Savings (HMO C-SNP) (H5594-030-000, H5594); Optimum Diamond Rewards COPD (HMO C-SNP) (H5594-035-000, H5594)

Affiliated clinicians 3

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

• Ramesh M Kotihal, M.D.

  • Nephrology Physician
  • Orange Park, FL
  • NPI 1811055080

  Dialysis facility

  Care Compare affiliation Name & address match
• Reuben Kyle Maggard, M.D.

  • Internal Medicine Physician
  • Orange Park, FL
  • NPI 1558572065

  Dialysis facility

  Care Compare affiliation Name & address match
• Neda Shahoori, M.D.

  • Nephrology Physician
  • Orange Park, FL
  • NPI 1801327705

  Dialysis facility

  Care Compare affiliation Name & address match

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

{
    "created_epoch": "1152748800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1778716800000",
    "number": "1033135306",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2141 LOCH RANE BLVD STE 112&115",
            "city": "ORANGE PARK",
            "state": "FL",
            "postal_code": "320735723",
            "telephone_number": "904-272-7331",
            "fax_number": "904-272-9425"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2141 LOCH RANE BLVD STE 112&115",
            "city": "ORANGE PARK",
            "state": "FL",
            "postal_code": "320735723",
            "telephone_number": "904-272-7331",
            "fax_number": "904-272-9425"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ARA-ORANGE PARK LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-13",
        "last_updated": "2026-05-14",
        "certification_date": "2026-05-14",
        "status": "A",
        "authorized_official_last_name": "BRADY",
        "authorized_official_first_name": "SARA",
        "authorized_official_middle_name": "ANNE",
        "authorized_official_title_or_position": "CHIEF NURSING OFFICER",
        "authorized_official_telephone_number": "208-371-7878",
        "authorized_official_name_prefix": "Mrs."
    },
    "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": "200582400",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Northeast Florida Dialysis Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Northeast Florida Dialysis Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Shawn Michael Anthony
• Antoinette N. Koe M.D, P.a
• Maria Antonio-Miranda, M.D.
• Sriramulu Aprameya, M.D.
• Desirae Aquiningoc
• Alberto Cardoso Araujo
• Gregory A Archambault, DMD
• Dennis Alfred Archer, RRT
• Maria Del Carmen Archuleta Pintor, PA-C
• Ardnas Health Care Services of Jacksonville

• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Orange Park, FL
• Providers in Orange Park, FL by specialty
• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.