Renviva Dialysis Center of Clearwater

Key facts

NPI: 1194178889
Entity type: Organization (NPI type 2)
Primary specialty: End-Stage Renal Disease (ESRD) Treatment Clinic/Center 261QE0700X
Legal business name: RENVIVA DIALYSIS CENTER OF CLEARWATER
Practice address: 401 Corbett St
Suite 250
Belleair, FL 33756-7309
Phone: (727) 281-4490
Fax: (866) 352-4339
NPI assigned: Jul 18, 2016
Organization subpart: No

Authorized official

Name: Ms. Sandra D Fritzsch, JD
Title: Member
Phone: (513) 673-5245

Member of 2

Organizations this organization is a member of, according to the National Provider Directory.

Renviva LLC End-Stage Renal Disease (ESRD) Treatment Clinic/Center · Rockford, IL · NPI 1962873919

NPD member Member Of
Renviva Nursing Home Services LLC End-Stage Renal Disease (ESRD) Treatment Clinic/Center · Harwood Heights, IL · NPI 1588167977

NPD member Member Of

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

Muhammad S Hayat, MD, MHA Internal Medicine Physician · Odessa, FL · NPI 1235163981

NPD (past)

Laboratory certificates & supplier records

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

CLIA laboratory certificates

CLIA number	Laboratory	Certificate	Expires
10D2121790	Renviva Dialysis Center of Clearwater LLC 401 Corbett St Ste 250, Belleair, FL 33756	Certificate of waiver	Nov 14, 2026

Medicare participation

Medicare fee-for-service enrollment: Enrolled in FL

Medicare enrollment records

Enrollment ID	State	Provider type	PAC ID	Details
O20160809001899	FL	Part a Provider - End-Stage Renal Disease Facility (ESRD)	3375837644	Practice locations: Belleair, FL

National Provider Directory

Networks

Optimum HealthCare HMO Network
Plans: Optimum Diamond Rewards (HMO C-SNP) (H5594-028-000, H5594); Optimum Diamond (HMO C-SNP) (H5594-036-000, H5594); Optimum Diamond Rewards (HMO C-SNP) (H5594-034-000, H5594); Optimum Diamond Rewards COPD (HMO C-SNP) (H5594-029-000, H5594); Optimum Platinum Plan (HMO) (H5594-002-000, H5594); Optimum Gold Plus Plan (HMO) (H5594-032-000, H5594); Optimum Diamond Savings COPD (HMO C-SNP) (H5594-031-000, H5594); Optimum Diamond Savings (HMO C-SNP) (H5594-030-000, H5594); Optimum Diamond Rewards COPD (HMO C-SNP) (H5594-035-000, H5594)
Freedom Health HMO Network
Plans: Freedom Platinum Rewards Plan Rx (HMO) (H5427-102-000, H5427); Freedom VIP Care (HMO C-SNP) (H5427-070-000, H5427); Freedom VIP Rewards (HMO C-SNP) (H5427-108-000, H5427); Freedom VIP Rewards (HMO C-SNP) (H5427-099-000, H5427); Freedom Platinum Rewards Plan Rx (HMO) (H5427-107-000, H5427); Freedom Maximo (HMO-POS) (H5427-113-000, H5427); Freedom Savings Plan (HMO) (H5427-052-000, H5427); Freedom Platinum Rewards Plan Rx (HMO) (H5427-096-000, H5427); Freedom Platinum Rewards Plan Rx (HMO) (H5427-105-000, H5427); Freedom Medi-Medi Full (HMO D-SNP) (H5427-087-000, H5427)…

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
End-Stage Renal Disease (ESRD) Treatment Clinic/Center	261QE0700X			Yes

Addresses

Primary practice location

401 Corbett St
Suite 250
Belleair, FL 33756-7309

Mailing address

213 Pelican Way
Delray Beach, FL 33483-8011
Phone (727) 281-4490

Other providers in Belleair, FL

All providers in Belleair, FL · End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Florida

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 20, 2024. Information in NPPES is self-reported and not verified by CMS.
NUCC Health Care Provider Taxonomy: specialty names.
Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
Medicare Care Compare provider data (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.