Organization Active NPI

Arc Dialysis Kendall LLC

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Miami, FL
National Provider Identifier
1679038046
Registry record updated Jun 11, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
End-Stage Renal Disease (ESRD) Treatment Clinic/CenterTaxonomy code 261QE0700X
Legal business name
ARC DIALYSIS KENDALL LLC
Practice address
9835 Sunset Dr Ste 107
Miami, FL 33173-4648
Phone
(305) 322-6412
NPI assigned
Feb 9, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 11, 2019

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) 322-6412

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
End-Stage Renal Disease (ESRD) Treatment Clinic/Center 261QE0700X Primary

Addresses

Primary practice location

9835 Sunset Dr Ste 107
Miami, FL 33173-4648

Mailing address

2601 SW 37TH Ave Ste 138
Miami, FL 33133-2750
Phone (305) 448-6261

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200127002491 FL Part A Provider - End-Stage Renal Disease Facility (ESRD) 2062847726 Practice locations: Miami, FL

Care Compare: Dialysis facility

Medicare Care Compare
Listed as
ARC Dialysis KendallCCN 682692
Overall star rating
1.0 of 5
Ownership
Profit
Certified
Apr 9, 2020
Medicare certification status
ActiveFrom the Provider of Services file
Chain
Other
Dialysis stations
12

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
10D2313140Arc Dialysis Kendall LLC9835 Sunset Dr Unit 107, Miami, FL 33173Certificate of waiverOct 24, 2026

National Provider Directory

National Provider Directory

Locations

9835 Sunset Dr
Ste 107
Miami, FL 33173
Phone (305) 322-6412

Networks

  • HealthSun Health Plans Network

Practitioners & affiliated clinicians

Affiliated clinicians 3

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": "1549670400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1560211200000",
    "number": "1679038046",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2601 SW 37TH AVE STE 138",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331332750",
            "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": "9835 SUNSET DR STE 107",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331734648",
            "telephone_number": "305-322-6412"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ARC DIALYSIS KENDALL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-02-09",
        "last_updated": "2019-06-11",
        "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": "305-322-6412"
    },
    "taxonomies": [
        {
            "code": "261QE0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, End-Stage Renal Disease (ESRD) Treatment",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2019; 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.