Renal Treatment Centers - Mid-Atlantic, Inc.

Primary specialty

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

Legal business name

RENAL TREATMENT CENTERS - MID-ATLANTIC, INC.

Practice address

40 E Oregon Ave
Philadelphia, PA 19148-4110

Phone

(445) 207-6682

Fax

(445) 207-6706

NPI assigned

Mar 10, 2022

Organization subpart

No

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

Authorized official

Name

Samuel Wey

Title

VP, Licensure & Certification

Phone

(615) 341-6641

Specialties & licenses 1

Addresses

Other names 1

• Oregon Avenue Dialysis Doing business as

Medicare fee-for-service enrollment

Enrolled in PA

Enrollment records 1

Listed as

DaVita Oregon AvenueCCN 732512

Ownership

Profit

Certified

Oct 28, 2022

Medicare certification status

ActiveFrom the Provider of Services file

Chain

DaVita

Dialysis stations

5

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 Treatment Centers Mid Atlantic Inc80 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 6

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

• Renal Treatment Centers - Mid-Atlantic Inc

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Gettysburg, PA
  • NPI 1467966127
  NPD tax ID
• Renal Treatment Centers - Mid-Atlantic, Inc.

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Johnstown, PA
  • NPI 1902314719
  NPD tax ID
• Renal Treatment Centers Mid Atlantic Inc

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Harrisburg, PA
  • NPI 1417599168
  NPD tax ID
• Renal Treatment Centers Mid Atlantic Inc

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Palmyra, PA
  • NPI 1629546577
  NPD tax ID
• Renal Treatment Centers Mid Atlantic Inc

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Coal Township, PA
  • NPI 1750906574
  NPD tax ID
• Renal Treatment Centers Mid Atlantic Inc

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Pittsburgh, PA
  • NPI 1982183224
  NPD tax ID

Locations

Affiliated clinicians 1

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

• Jesse Goldman, MD

  • Nephrology Physician
  • Philadelphia, PA
  • NPI 1861480022

  Dialysis facility

  Care Compare affiliation Name & address match

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

{
    "created_epoch": "1646870400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1739836800000",
    "number": "1043968944",
    "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": "40 E OREGON AVE",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191484110",
            "telephone_number": "445-207-6682",
            "fax_number": "445-207-6706"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RENAL TREATMENT CENTERS - MID-ATLANTIC, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-03-10",
        "last_updated": "2025-02-18",
        "certification_date": "2025-02-18",
        "status": "A",
        "authorized_official_last_name": "WEY",
        "authorized_official_first_name": "SAMUEL",
        "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": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Oregon Avenue Dialysis",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Oregon Avenue Dialysis",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Renaissance Healthcare System, LLC.
• Renal Care Group East, Inc.
• Renal Care Group East, Inc.
• Renal Carepartners of Philadelphia, LLC
• Renal Center of Philadelphia, LLC
• Renal Treatment Centers Northeast Inc
• Renal Treatment Centers Northeast Inc
• Renal Treatment Centers Northeast Inc
• Nicole Lynn Renaldi, D.O.
• Renata Angelini PC

• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Philadelphia, PA
• Providers in Philadelphia, PA by specialty
• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2025; 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.