Organization Active NPI

Kidney Center of Whitehall LLC

Doing business as Kidney Center of Reynoldsburg

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Columbus, OH
National Provider Identifier
1366809857
Registry record updated Jul 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
End-Stage Renal Disease (ESRD) Treatment Clinic/CenterTaxonomy code 261QE0700X
Legal business name
KIDNEY CENTER OF WHITEHALL LLC
Doing business as
Kidney Center of Reynoldsburg
Practice address
6038 E Main St
Columbus, OH 43213-3357
Phone
(614) 866-4250
Fax
(614) 866-4340
NPI assigned
Jan 28, 2016
Last updated
Jul 6, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 6, 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

6038 E Main St
Columbus, OH 43213-3357

Mailing address

6038 E Main St
Columbus, OH 43213-3357
Phone (614) 866-4250

Other names 1

  • KIDNEY CENTER OF REYNOLDSBURG Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20160318000126 OH Part A Provider - End-Stage Renal Disease Facility (ESRD) 5193022119 Practice locations: Columbus, OH

Care Compare: Dialysis facility

Medicare Care Compare
Listed as
Kidney Center of ReynoldsburgCCN 362844
Overall star rating
3.0 of 5
Ownership
Non-profit
Certified
Sep 15, 2016
Medicare certification status
ActiveFrom the Provider of Services file
Chain
American Renal Associates
Dialysis stations
17

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
36D2110060Kidney Center of Whitehall, LLC6038 East Main Street, Columbus, OH 43213Certificate of waiverMar 7, 2028

National Provider Directory

National Provider Directory

Locations

6038 E Main St
Columbus, OH 43213
Phone (614) 694-0972

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

Affiliated clinicians 1

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": "1453939200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1783296000000",
    "number": "1366809857",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6038 E MAIN ST",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432133357",
            "telephone_number": "614-866-4250",
            "fax_number": "614-866-4340"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6038 E MAIN ST",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432133357",
            "telephone_number": "614-866-4250",
            "fax_number": "614-866-4340"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KIDNEY CENTER OF WHITEHALL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-01-28",
        "last_updated": "2026-07-06",
        "certification_date": "2026-07-06",
        "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": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "KIDNEY CENTER OF REYNOLDSBURG",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "KIDNEY CENTER OF REYNOLDSBURG",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Columbus, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 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.