Organization Active NPI

Fairfield Kidney Center LLC

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Lancaster, OH
National Provider Identifier
1124190483
Registry record updated May 22, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
End-Stage Renal Disease (ESRD) Treatment Clinic/CenterTaxonomy code 261QE0700X
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, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 22, 2026

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
2749440MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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 CenterCCN 362693
Overall star rating
2.0 of 5
Ownership
Profit
Certified
Mar 7, 2007
Medicare certification status
ActiveFrom the Provider of Services file
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 NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
36D1062391Fairfield Kidney Center618 Pleasantville Road, Lancaster, OH 43130Certificate of waiverDec 12, 2026

National Provider Directory

National Provider Directory

Practitioners & 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

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.

Verify at the official NPI Registry.