Coldspring Dialysis Clinic LLC

Primary specialty

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

Legal business name

COLDSPRING DIALYSIS CLINIC LLC

Practice address

4700 Harford Rd
Baltimore, MD 21214-3204

Phone

(410) 254-3300

Fax

(410) 254-3015

NPI assigned

May 26, 2016

Organization subpart

No

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

Authorized official

Name

Brian Finglass, CPA

Title

Cfo

Phone

(410) 766-1995

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MD

Enrollment records 1

Listed as

Coldsprings Dialysis, LLCCCN 212671

Ownership

Profit

Certified

Jun 22, 2012

Medicare certification status

ActiveFrom the Provider of Services file

Dialysis stations

6

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 2

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

• Adam Richard Berliner, MD

  • Nephrology Physician
  • Baltimore, MD
  • NPI 1881666337

  Dialysis facility

  Care Compare affiliation Name & address match
• Nicholas Niazi, MD

  • Nephrology Physician
  • Baltimore, MD
  • NPI 1144688862

  Dialysis facility

  Care Compare affiliation Name & address match

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

{
    "created_epoch": "1464220800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1610928000000",
    "number": "1356799712",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8028 RITCHIE HWY",
            "city": "PASADENA",
            "state": "MD",
            "postal_code": "211221075",
            "telephone_number": "410-766-1995",
            "fax_number": "410-761-6095"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4700 HARFORD RD",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212143204",
            "telephone_number": "410-254-3300",
            "fax_number": "410-254-3015"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COLDSPRING DIALYSIS CLINIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-05-26",
        "last_updated": "2021-01-18",
        "certification_date": "2021-01-18",
        "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_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": []
}

• Shyniece Colbert
• Rachel Renee Colbourn, M.S., CCC-SLP
• Jessica Leigh Colburn, M.D.
• Tyler Colburn, PA-C
• Cameron Colclough
• Amina Cole-Kangbai
• Arlene Cole, LCSW-C
• Caroline Cole
• Chelsea Cole
• Christopher Cole

• 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 Jan 18, 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.