NPIMap

Organization Active NPI

Mid-Atlantic Kidney Center

Doing business as Mid-Atlantic Kidney Centers

  • Nephrology Physician
  • Richmond, VA
National Provider Identifier
1700855228
Registry record updated Mar 11, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
Legal business name
MID-ATLANTIC KIDNEY CENTER
Doing business as
Mid-Atlantic Kidney Centers
Practice address
203 E Cary St Ste 201
Richmond, VA 23219-3746
Phone
(804) 643-3061
Fax
(804) 643-3817
NPI assigned
Mar 16, 2006
Last updated
Mar 11, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 11, 2026

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

Authorized official

Name
Jordan Romeo
Title
Practice Administrator
Phone
(804) 643-3061

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X NU Primary

Addresses

Primary practice location

203 E Cary St Ste 201
Richmond, VA 23219-3746

Mailing address

203 E Cary St Ste 201
Richmond, VA 23219-3746
Phone (804) 643-3061

Other practice location 1

4575 Whitehill Blvd Ste 101
Prince George, VA 23875-1273
Phone (804) 732-1240 ext. 35533

Other names 2

  • Mid-Atlantic Kidney Centers Doing business as
  • Mid-Atlantic Nephrology Associates Former legal business name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20031126000043 VA Part B Supplier - Clinic/Group Practice 7113821513 Receives reassigned benefits from 9 practitioners
Practice locations: Richmond, VA

National Provider Directory

National Provider Directory

Locations

210 N 2nd Ave
Hopewell, VA 23860
Phone (804) 639-9267

2324 Colony Crossing Pl
Midlothian, VA 23112
Phone (804) 639-7850

15 W Old St
Petersburg, VA 23803
Phone (804) 732-1240

4575 Whitehill Blvd
Ste 101
Prince George, VA 23875
Phone 8047321240 ext. 35533

1506 Hull St
Richmond, VA 23224

203 E Cary St
Ste 201
Richmond, VA 23219
Phone (804) 643-3061

2201 E Main St
Ste 201
Richmond, VA 23223
Phone (804) 643-3061

7101 Jahnke Rd
#270
Richmond, VA 23225
Phone (804) 643-3061

Practitioners & affiliated clinicians

Practitioners 12

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.

NPI Registry JSON

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

{
    "created_epoch": "1142467200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1773187200000",
    "number": "1700855228",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "203 E CARY ST STE 201",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232193746",
            "telephone_number": "804-643-3061",
            "fax_number": "804-643-3817"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "203 E CARY ST STE 201",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232193746",
            "telephone_number": "804-643-3061",
            "fax_number": "804-643-3817"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4575 Whitehill Blvd Ste 101",
            "address_purpose": "LOCATION",
            "city": "Prince George",
            "state": "VA",
            "postal_code": "238751273",
            "country_code": "US",
            "telephone_number": "804-732-1240 x35533",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "MID-ATLANTIC KIDNEY CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-16",
        "last_updated": "2026-03-11",
        "certification_date": "2026-03-11",
        "status": "A",
        "authorized_official_last_name": "ROMEO",
        "authorized_official_first_name": "JORDAN",
        "authorized_official_title_or_position": "PRACTICE ADMINISTRATOR",
        "authorized_official_telephone_number": "804-643-3061"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mid-Atlantic Kidney Centers",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Mid-Atlantic Nephrology Associates",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "Mid-Atlantic Nephrology Associates",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Richmond, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.