Active NPI
Isd Renal Inc
Doing business as Kansas City Renal Center
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Kansas City, MO
National Provider Identifier
1770539108
On this page
Key facts
NPPES NPI Registry- Primary specialty
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Legal business name
- ISD RENAL INC
- Doing business as
- Kansas City Renal Center
- Practice address
- 4601 Madison Ave
Kansas City, MO 64112-1268 - Phone
- (816) 764-9633
- Fax
- (816) 375-6351
- NPI assigned
- May 26, 2006
- Last updated
- Sep 21, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Samuel T Wey
- Title
- VP, Licensure and Certification
- Phone
- (615) 341-6641
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| End-Stage Renal Disease (ESRD) Treatment Clinic/Center | 261QE0700X | NU | Primary |
Addresses
Primary practice location
4601 Madison Ave
Kansas City, MO 64112-1268
Mailing address
5200 Virginia Way
L&C Dept
Brentwood, TN 37027-7569
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 503855900 | Medicaid | MO | |
| 200548640D | Medicaid | KS | |
| 1770539108 | Medicaid | IA |
Other names 1
- Kansas City Renal Center
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20060508000101 | FL | Part A Provider - End-Stage Renal Disease Facility (ESRD) | 9830100858 | Practice locations: Kansas City, MO |
Care Compare: Dialysis facility
Medicare Care Compare- Listed as
- DaVita Kansas City Renal Center
- Overall star rating
- Ownership
- Profit
- Certified
- Aug 4, 1988
- Medicare certification status
- Active
- Chain
- DaVita
- Dialysis stations
- 16
Name & address match This facility record has no NPI; it was connected to this NPI by matching name and address.
National Provider Directory
National Provider Directory- Tax ID family
- Renal Care of Marion
Organizations with this tax ID in the same state 4
This tax ID family is large, so up to 24 of its organizations in the same state are linked here.
-
dba Rolla Home Training
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Rolla, MO
- NPI 1063923753
-
dba Cross Keys Dialysis
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Florissant, MO
- NPI 1407384274
-
dba Harrisonville Renal Center
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Harrisonville, MO
- NPI 1811943756
-
dba Cross Keys Dialysis
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Florissant, MO
- NPI 1376077123
Member of 2
Organizations this organization is a member of, according to the National Provider Directory.
-
dba Florissant Dialysis
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Saint Louis, MO
- NPI 1740241454
Member Of
-
dba Amelia Dialysis
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Amelia Court House, VA
- NPI 1861456113
Member Of
Locations
4601 Madison Ave
Kansas City, MO 64112
Phone (816) 753-2900
Ownership & related parties
All facility ownership & control disclosures 3
Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.
| Facility | Type | Role | Since |
|---|---|---|---|
| Carmel Health & Living Community | Skilled nursing facility | Adp of the SNF | Jul 16, 2021 |
| Countryside Manor Health & Living Community | Skilled nursing facility | Adp of the SNF | Jul 16, 2021 |
| Lincoln Hills of New Albany | Skilled nursing facility | Adp of the SNF | Jul 16, 2021 |
Practitioners & affiliated clinicians
Affiliated clinicians 5
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": "1148601600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1789948800000",
"number": "1770539108",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5200 VIRGINIA WAY",
"address_2": "L&C DEPT",
"city": "BRENTWOOD",
"state": "TN",
"postal_code": "370277569"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4601 MADISON AVE",
"city": "KANSAS CITY",
"state": "MO",
"postal_code": "641121268",
"telephone_number": "816-764-9633",
"fax_number": "816-375-6351"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ISD RENAL INC",
"organizational_subpart": "NO",
"enumeration_date": "2006-05-26",
"last_updated": "2026-09-21",
"certification_date": "2026-09-21",
"status": "A",
"authorized_official_last_name": "WEY",
"authorized_official_first_name": "SAMUEL",
"authorized_official_middle_name": "T",
"authorized_official_title_or_position": "VP, LICENSURE AND CERTIFICATION",
"authorized_official_telephone_number": "615-341-6641"
},
"taxonomies": [
{
"code": "261QE0700X",
"taxonomy_group": "",
"desc": "Clinic/Center, End-Stage Renal Disease (ESRD) Treatment",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "503855900",
"state": "MO"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200548640D",
"state": "KS"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1770539108",
"state": "IA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Kansas City Renal Center",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Kansas City Renal Center",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Kansas City, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
- 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.