Active NPI
Kidney Doctors Dialysis Center Inc
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Miami Gardens, FL
National Provider Identifier
1033838230
On this page
Key facts
NPPES NPI Registry- Primary specialty
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Legal business name
- KIDNEY DOCTORS DIALYSIS CENTER INC
- Practice address
- 18369 NW 27TH Ave
Miami Gardens, FL 33056-3169 - Phone
- (305) 707-5243
- Fax
- (305) 707-5414
- NPI assigned
- Aug 23, 2022
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Francisco J Bernal Perez, DNP
- Title
- Don/Administrator
- Phone
- (786) 365-6624
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| End-Stage Renal Disease (ESRD) Treatment Clinic/Center | 261QE0700X | Primary |
Addresses
Primary practice location
18369 NW 27TH Ave
Miami Gardens, FL 33056-3169
Mailing address
18369 NW 27TH Ave
Miami Gardens, FL 33056-3169
Phone (305) 707-5243
Other names 1
- Kidney Doctors Dialysis Center Inc
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | infomg@kidneydoctorsdc.com | Direct | Kidney Doctors Dialysis Center Inc |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20220531002608 | FL | Part A Provider - End-Stage Renal Disease Facility (ESRD) | 5395098131 |
1 other NPI on this enrollment Practice locations: Miami Gardens, FL |
Other NPIs with the same Medicare PAC ID 2
NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).
-
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Pembroke Pines, FL
- NPI 1538648407
5395098131
-
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Miami Lakes, FL
- NPI 1568153500
5395098131
Other NPIs on the same Medicare enrollment 1
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
-
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Pembroke Pines, FL
- NPI 1538648407
O20220531002608
Care Compare: Dialysis facility
Medicare Care Compare- Listed as
- Kidney Doctors Dialysis Center-Miami Gardens
- Overall star rating
- Ownership
- Profit
- Certified
- Jun 24, 2022
- Medicare certification status
- Active
- Dialysis stations
- 16
Name & address match This facility record has no NPI; it was connected to this NPI by matching name and address.
National Provider Directory
National Provider Directory- Tax ID family
- Kidney Doctors Dialysis Center Inc
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Miami Lakes, FL
- NPI 1568153500
Locations
18369 NW 27th Ave
Miami Gardens, FL 33056
Phone (305) 707-5243
Networks
- HealthSun Health Plans Network
Practitioners & affiliated clinicians
Affiliated clinicians 1
Clinicians who list this facility as an affiliation in Medicare Care Compare.
-
- Nephrology Physician
- Pembroke Pines, FL
- NPI 1649498569
Dialysis facility
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1661212800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1661212800000",
"number": "1033838230",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "18369 NW 27TH AVE",
"city": "MIAMI GARDENS",
"state": "FL",
"postal_code": "330563169",
"telephone_number": "305-707-5243",
"fax_number": "305-707-5414"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "18369 NW 27TH AVE",
"city": "MIAMI GARDENS",
"state": "FL",
"postal_code": "330563169",
"telephone_number": "305-707-5243",
"fax_number": "305-707-5414"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "KIDNEY DOCTORS DIALYSIS CENTER INC",
"organizational_subpart": "NO",
"enumeration_date": "2022-08-23",
"last_updated": "2022-08-23",
"certification_date": "2022-08-23",
"status": "A",
"authorized_official_last_name": "BERNAL PEREZ",
"authorized_official_first_name": "FRANCISCO",
"authorized_official_middle_name": "J",
"authorized_official_title_or_position": "DON/ADMINISTRATOR",
"authorized_official_telephone_number": "786-365-6624",
"authorized_official_credential": "DNP"
},
"taxonomies": [
{
"code": "261QE0700X",
"taxonomy_group": "",
"desc": "Clinic/Center, End-Stage Renal Disease (ESRD) Treatment",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "infomg@kidneydoctorsdc.com",
"affiliation": "Y",
"affiliationName": "Kidney Doctors Dialysis Center Inc",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "18369 NW 27th Ave",
"city": "Miami Gardens",
"state": "FL",
"country_code": "US",
"postal_code": "330563169",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"organization_name": "Kidney Doctors Dialysis Center Inc",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Miami Gardens, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2022; 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.