Frederick Kidney Care Associates LLC.

Primary specialty

Medical Specialty Clinic/CenterTaxonomy code 261QM2500X

License

W12133963 Issued in MD

Legal business name

FREDERICK KIDNEY CARE ASSOCIATES LLC.

Practice address

5205 Chairmans CT
Suite 100
Frederick, MD 21703-2915

Phone

(301) 696-0012

NPI assigned

Sep 21, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Rohan R Rengen, M.D.NPI 1609067792

Title

Partner

Phone

(301) 696-0012

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MD

Enrollment records 1

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

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Rohan Raju Rengen, D.O.

  • Nephrology Physician
  • Frederick, MD
  • NPI 1609067792
  Medicare reassignment Care Compare group NPD Authorized official
• Sherene Nicketa Lindsay, FNP

  • Family Nurse Practitioner
  • Frederick, MD
  • NPI 1801269758
  Medicare reassignment Care Compare group NPD
• Anita Nahar, MD

  • Nephrology Physician
  • Frederick, MD
  • NPI 1659369684
  Medicare reassignment Care Compare group NPD
• Kyra Szugye, AG-ACNP

  • Nurse Practitioner
  • Frederick, MD
  • NPI 1750103669
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1190332800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1465776000000",
    "number": "1033305263",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5205 CHAIRMANS CT",
            "address_2": "SUITE 100",
            "city": "FREDERICK",
            "state": "MD",
            "postal_code": "217032915",
            "telephone_number": "301-696-0012"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5205 CHAIRMANS CT",
            "address_2": "SUITE 100",
            "city": "FREDERICK",
            "state": "MD",
            "postal_code": "217032915",
            "telephone_number": "301-696-0012"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FREDERICK KIDNEY CARE ASSOCIATES LLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-21",
        "last_updated": "2016-06-13",
        "status": "A",
        "authorized_official_last_name": "RENGEN",
        "authorized_official_first_name": "ROHAN",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "301-696-0012",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "MD",
            "license": "W12133963",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Frederick Integrated Healthcare Network, LLC
• Frederick Integrative Metabolic Psychiatry and Counseling, P.C.
• Frederick Internal Medicine and Endocrinology Services, PA
• Frederick Kidds Pediatric Dentistry LLC
• Frederick Kidney Care Associates
• Frederick Medical & Pulmonary Assoc
• Frederick Memorial Hospital Inc
• Frederick Memorial Hospital Inc
• Frederick Memorial Hospital Inc
• Frederick Metabolic and Primary Care Associates LLC

• Medical Specialty Clinic/Center in Frederick, MD
• Providers in Frederick, MD by specialty
• Medical Specialty Clinic/Center in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2016; 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.