Active NPI
Fairfield Kidney Center LLC
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Lancaster, OH
National Provider Identifier
1124190483
On this page
Key facts
NPPES NPI Registry- Primary specialty
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Legal business name
- FAIRFIELD KIDNEY CENTER LLC
- Practice address
- 618 Pleasantville Rd
Lancaster, OH 43130-3312 - Phone
- (740) 687-6480
- Fax
- (740) 687-6490
- NPI assigned
- Nov 14, 2006
- Last updated
- May 22, 2026
- 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
- Sara Anne Brady
- Title
- Chief Nursing Officer
- Phone
- (208) 371-7878
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| End-Stage Renal Disease (ESRD) Treatment Clinic/Center | 261QE0700X | NU | Primary |
Addresses
Primary practice location
618 Pleasantville Rd
Lancaster, OH 43130-3312
Mailing address
618 Pleasantville Rd
Lancaster, OH 43130-3312
Phone (740) 687-6480
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2749440 | Medicaid | OH |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20061211000098 | OH | Part A Provider - End-Stage Renal Disease Facility (ESRD) | 2567461015 | Practice locations: Lancaster, OH |
Care Compare: Dialysis facility
Medicare Care Compare- Listed as
- Fairfield Kidney Center
- Overall star rating
- Ownership
- Profit
- Certified
- Mar 7, 2007
- Medicare certification status
- Active
- Chain
- American Renal Associates
- Dialysis stations
- 15
Name & address match This facility record has no NPI; it was connected to this NPI by matching name and address.
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 36D1062391 | Fairfield Kidney Center | Certificate of waiver | Dec 12, 2026 |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Affiliated clinicians 2
Clinicians who list this facility as an affiliation in Medicare Care Compare.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163462400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1779408000000",
"number": "1124190483",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "618 PLEASANTVILLE RD",
"city": "LANCASTER",
"state": "OH",
"postal_code": "431303312",
"telephone_number": "740-687-6480",
"fax_number": "740-687-6490"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "618 PLEASANTVILLE RD",
"city": "LANCASTER",
"state": "OH",
"postal_code": "431303312",
"telephone_number": "740-687-6480",
"fax_number": "740-687-6490"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FAIRFIELD KIDNEY CENTER LLC",
"organizational_subpart": "NO",
"enumeration_date": "2006-11-14",
"last_updated": "2026-05-22",
"certification_date": "2026-05-22",
"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"
},
"taxonomies": [
{
"code": "261QE0700X",
"taxonomy_group": "",
"desc": "Clinic/Center, End-Stage Renal Disease (ESRD) Treatment",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2749440",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Lancaster, OH
- Fairfield Healthcare Professionals, Inc (Preeti J. Srivatsa, MD)
- Fairfield Healthcare Professionals, Inc (Infection Prevention Associates)
- Fairfield Healthcare Professionals, Inc. (Fairfield Medical Urgent Care)
- Fairfield Imaging Associates, Inc
- Fairfield Internal Medicine, Inc
- Fairfield Medical Associates, LLC (Fairfield Medical Associates)
- Fairfield Medical Center
- Fairfield Neurology Inc
- Fairfield Spine and Rehab Center LLC
- Fairfield Spine Center,LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 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.