Kidney Center of Dacono LLC
Organization Active NPI End-Stage Renal Disease (ESRD) Treatment Clinic/Center · Frederick, CO
NPI 1285086389 · NPPES record last updated Jul 6, 2026
Key facts
- NPI
- 1285086389
- Entity type
- Organization (NPI type 2)
- Primary specialty
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center 261QE0700X
- Legal business name
- KIDNEY CENTER OF DACONO LLC
- Practice address
- 5992 Iris Pkwy
Frederick, CO 80504-6412 - Phone
- (303) 833-1381
- Fax
- (303) 833-1382
- NPI assigned
- Jul 13, 2016
- Organization subpart
- No
Authorized official
- Name
- Sara Anne Brady
- Title
- Chief Nursing Officer
- Phone
- (208) 371-7878
Member of 1
Affiliated clinicians 4
-
Joseph G Abdallah, M.D.
-
Adil Jadoon, MD
-
George C. Kim, MD
Medicare Care Compare: Dialysis facility
- Listed as
- 062590-Kidney Center of Frederick
- Overall star rating
- ★★★★☆ 4.0 of 5
- Ownership
- Profit
- Certified
- Nov 13, 2017
- Medicare certification status
- Active
- Chain
- American Renal Associates
- Dialysis stations
- 12
Laboratory certificates & supplier records
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 06D2117750 | Kidney Center of Dacono | Certificate of waiver | Aug 22, 2026 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CO
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20160928002215 | CO | Part a Provider - End-Stage Renal Disease Facility (ESRD) | 1557658929 | Practice locations: Frederick, CO |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| End-Stage Renal Disease (ESRD) Treatment Clinic/Center | 261QE0700X | Yes |
Addresses
Primary practice location
5992 Iris Pkwy
Frederick, CO 80504-6412
Mailing address
5992 Iris Pkwy
Frederick, CO 80504-6412
Phone (303) 833-1381
Other names
- KIDNEY CENTER OF FREDERICK
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All providers in Frederick, CO · End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Colorado
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 6, 2026. 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.