Courtland Dialysis Clinic, LLC

Primary specialty

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

Legal business name

COURTLAND DIALYSIS CLINIC, LLC

Practice address

7920 Scotts Level Rd
Baltimore, MD 21208-2629

Phone

(410) 521-3600

NPI assigned

Sep 1, 2015

Organization subpart

No

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

Authorized official

Name

Mr. Brian Finglass, CPA

Title

Cfo

Phone

(410) 766-1995

Specialties & licenses 1

Addresses

Other names 1

• RENALIS COURTLAND Doing business as

Medicare fee-for-service enrollment

Enrolled in MD

Enrollment records 1

Listed as

Courtland Dialysis, LLCCCN 212703

Ownership

Profit

Certified

Apr 7, 2016

Medicare certification status

ActiveFrom the Provider of Services file

Dialysis stations

9

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

CLIA laboratory certificates

Affiliated clinicians 3

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

• Nazli Atefi, MD

  • Nephrology Physician
  • Lutherville, MD
  • NPI 1740712405

  Dialysis facility

  Care Compare affiliation Name & address match
• Robert Fuld, M.D.

  • Nephrology Physician
  • Owings Mills, MD
  • NPI 1386642718

  Dialysis facility

  Care Compare affiliation Name & address match
• Radcliffe Thomas

  • Nephrology Physician
  • Baltimore, MD
  • NPI 1558337618

  Dialysis facility

  Care Compare affiliation Name & address match

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

{
    "created_epoch": "1441065600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1635897600000",
    "number": "1124495502",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8028 RITCHIE HWY",
            "address_2": "SUITE 210B",
            "city": "PASADENA",
            "state": "MD",
            "postal_code": "211221075",
            "telephone_number": "410-799-1995",
            "fax_number": "410-761-6095"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7920 SCOTTS LEVEL RD",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212082629",
            "telephone_number": "410-521-3600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COURTLAND DIALYSIS CLINIC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-09-01",
        "last_updated": "2021-11-03",
        "certification_date": "2021-11-03",
        "status": "A",
        "authorized_official_last_name": "FINGLASS",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "410-766-1995",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "CPA"
    },
    "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": "RENALIS COURTLAND",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Debra R Counts, MD
• Courageous, LLC
• Julie Coursen
• Court Appointed Special Advocates (Casa) Baltimore, Inc.
• Miranda M Courteaux, BA
• Courtland Gardens Nursing and Rehabilitation Center, Inc.
• Courtland, LLC
• Courtland, LLC
• Courtney Cares Nursing Services, LLC
• Courtney Cox Therapy, LLC

• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Baltimore, MD
• Providers in Baltimore, MD by specialty
• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2021; 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.