Renviva Dialysis Center of Sarasota County

Primary specialty

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

Legal business name

RENVIVA DIALYSIS CENTER OF SARASOTA COUNTY

Practice address

5504 Pinebrook Rd Ste 102
Nokomis, FL 34275-3673

Phone

(321) 710-0352

NPI assigned

Jun 26, 2024

Organization subpart

No

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

Authorized official

Name

Akinyinka Awosika

Title

Member Manager

Phone

(321) 710-0352

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Listed as

Renviva Dialysis of SarasotaCCN 682802

Ownership

Profit

Certified

Apr 23, 2025

Medicare certification status

ActiveFrom the Provider of Services file

Dialysis stations

12

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

Practitioners 1

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

• Banji O Awosika, MD

  • Specialist
  • Winter Garden, FL
  • NPI 1295770428
  NPD (past)

Affiliated clinicians 2

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

• Jehanzeb Bilal, M.D

  • Nephrology Physician
  • Sarasota, FL
  • NPI 1063742377

  Dialysis facility

  Care Compare affiliation Name & address match
• Bhavin C Patel, MD

  • Nephrology Physician
  • Bradenton, FL
  • NPI 1619234416

  Dialysis facility

  Care Compare affiliation Name & address match

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

{
    "created_epoch": "1719360000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1725494400000",
    "number": "1649015355",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5504 PINEBROOK RD STE 102",
            "city": "NOKOMIS",
            "state": "FL",
            "postal_code": "342753673"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5504 PINEBROOK RD STE 102",
            "city": "NOKOMIS",
            "state": "FL",
            "postal_code": "342753673",
            "telephone_number": "321-710-0352"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RENVIVA DIALYSIS CENTER OF SARASOTA COUNTY",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-06-26",
        "last_updated": "2024-09-05",
        "certification_date": "2024-09-05",
        "status": "A",
        "authorized_official_last_name": "AWOSIKA",
        "authorized_official_first_name": "AKINYINKA",
        "authorized_official_title_or_position": "MEMBER MANAGER",
        "authorized_official_telephone_number": "321-710-0352"
    },
    "taxonomies": [
        {
            "code": "261QE0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, End-Stage Renal Disease (ESRD) Treatment",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Yana Perevalov
• Linda Ann Peters, PTA
• Randal Wayne Phillips
• Elizabeth E. Prosser, DC
• Publix Super Markets Inc
• Kimberly Reschenthaler
• Christina Lynn Roberts, RMCHI
• Tonishia Latoya Rodriguez
• Rooted Acupuncture and Wellness
• Matthew Dennis Sabo, MS, BCBA

• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Nokomis, FL
• Providers in Nokomis, 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 Sep 5, 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.