Mohawk Valley Dialysis Center Inc

Primary specialty

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

Legal business name

MOHAWK VALLEY DIALYSIS CENTER INC

Practice address

115 Town Square Dr
Amsterdam, NY 12010-7544

Phone

(518) 627-0280

Fax

(518) 627-0281

NPI assigned

Jun 5, 2012

Organization subpart

No

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

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Listed as

Mohawk Valley Dialysis Center, Inc.CCN 332693

Overall star rating

2.0 of 5

Ownership

Profit

Certified

Sep 19, 2012

Medicare certification status

ActiveFrom the Provider of Services file

Chain

American Renal Associates

Dialysis stations

15

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• GS Internal Medicine PLLC

  • Nephrology Physician
  • Slingerlands, NY
  • NPI 1033558853

  Member Of

  NPD member

Locations

Affiliated clinicians 3

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

• Soo Gil Lee, MD

  • Internal Medicine Physician
  • Amsterdam, NY
  • NPI 1063476398

  Dialysis facility

  Care Compare affiliation Name & address match
• Ayman Habib Morgan, MD

  • Nephrology Physician
  • Schenectady, NY
  • NPI 1053336255

  Dialysis facility

  Care Compare affiliation Name & address match
• George Fayk Melad Soryal, M.D.

  • Nephrology Physician
  • Slingerlands, NY
  • NPI 1134356512

  Dialysis facility

  Care Compare affiliation Name & address match

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

{
    "created_epoch": "1338854400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1783296000000",
    "number": "1750642971",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "115 TOWN SQUARE DR",
            "city": "AMSTERDAM",
            "state": "NY",
            "postal_code": "120107544",
            "telephone_number": "518-627-0280",
            "fax_number": "518-627-0281"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 TOWN SQUARE DR",
            "city": "AMSTERDAM",
            "state": "NY",
            "postal_code": "120107544",
            "telephone_number": "518-627-0280",
            "fax_number": "518-627-0281"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOHAWK VALLEY DIALYSIS CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-06-05",
        "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": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03536674",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ranford V. Miller, M.D.
• Victoria Miller, FNP-BC
• Jamshaid A Minhas, MD
• Benjamin Mochrie, MST
• Mohawk Monty
• Mohawk Valley Medical Anesthesiology Associates, PLLC
• Mohawk Valley Multispecialty Medical Group PLLC
• Mohawk Valley Orthopedics, P.C.
• Mohawk Valley Physical Medicine and Rehab
• Robin H Moller, RN

• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Amsterdam, NY
• Providers in Amsterdam, NY by specialty
• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in New York

• 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.