Kidney Care of Dunnellon LLC

Primary specialty

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

Legal business name

KIDNEY CARE OF DUNNELLON LLC

Practice address

11223 N Williams St Ste K
Dunnellon, FL 34432-8350

Phone

(352) 280-1870

Fax

(352) 280-1880

NPI assigned

Nov 19, 2024

Last updated

Nov 19, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Federico Alberto Dumenigo

Title

Ceo

Phone

(305) 448-6261

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Listed as

Kidney Care of DunnellonCCN 682798

Ownership

Profit

Certified

Feb 12, 2025

Medicare certification status

ActiveFrom the Provider of Services file

Dialysis stations

17

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

CLIA laboratory certificates

Locations

Affiliated clinicians 1

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

• Melvin M Seek, M.D.

  • Nephrology Physician
  • Gainesville, FL
  • NPI 1043218043

  Dialysis facility

  Care Compare affiliation Name & address match

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

{
    "created_epoch": "1731974400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1731974400000",
    "number": "1508681180",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4960 SW 72ND AVE STE 208",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331555549",
            "telephone_number": "305-448-6261",
            "fax_number": "305-448-6268"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11223 N WILLIAMS ST STE K",
            "city": "DUNNELLON",
            "state": "FL",
            "postal_code": "344328350",
            "telephone_number": "352-280-1870",
            "fax_number": "352-280-1880"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KIDNEY CARE OF DUNNELLON LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-11-19",
        "last_updated": "2024-11-19",
        "certification_date": "2024-11-19",
        "status": "A",
        "authorized_official_last_name": "DUMENIGO",
        "authorized_official_first_name": "FEDERICO",
        "authorized_official_middle_name": "ALBERTO",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "305-448-6261"
    },
    "taxonomies": [
        {
            "code": "261QE0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, End-Stage Renal Disease (ESRD) Treatment",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elizabeth Gail Jones
• Tasha J Karetas, LPN, NBC-HWC
• Kashiben Say LLC (Dunnellon Discount Drugs)
• Kenduck Izquierdo Support Services, Inc
• Brenda M Kenduck
• Trisha Kimball
• Miriam Koshy, DMD
• Alison Faye Koskos
• Amanda Jill Kozinko
• Samantha Nicole Kreisle, ARNP

• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Dunnellon, FL
• Providers in Dunnellon, FL by specialty
• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2024; 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.