Jupiter Kidney Center LLC

Primary specialty

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

Legal business name

JUPITER KIDNEY CENTER LLC

Practice address

1701 Military TRL
Suite 140
Jupiter, FL 33458-6330

Phone

(561) 744-4661

Fax

(561) 743-9846

NPI assigned

Jul 7, 2006

Last updated

Jun 8, 2026By the provider in NPPES

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 FL

Enrollment records 1

Listed as

Jupiter Kidney Center LLCCCN 102527

Overall star rating

2.0 of 5

Ownership

Profit

Certified

Aug 1, 1978

Medicare certification status

ActiveFrom the Provider of Services file

Chain

American Renal Associates

Dialysis stations

19

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

Networks

• Freedom Health HMO NetworkPlans: Freedom Platinum Rewards Plan Rx (HMO) (H5427-102-000, H5427); Freedom VIP Care (HMO C-SNP) (H5427-070-000, H5427); Freedom VIP Rewards (HMO C-SNP) (H5427-108-000, H5427); Freedom VIP Rewards (HMO C-SNP) (H5427-099-000, H5427); Freedom Platinum Rewards Plan Rx (HMO) (H5427-107-000, H5427); Freedom Máximo (HMO-POS) (H5427-113-000, H5427); Freedom Savings Plan (HMO) (H5427-052-000, H5427); Freedom Platinum Rewards Plan Rx (HMO) (H5427-096-000, H5427); Freedom Platinum Rewards Plan Rx (HMO) (H5427-105-000, H5427); Freedom Medi-Medi Full (HMO D-SNP) (H5427-087-000, H5427)…
• Optimum HealthCare HMO NetworkPlans: Optimum Diamond Rewards (HMO C-SNP) (H5594-028-000, H5594); Optimum Diamond (HMO C-SNP) (H5594-036-000, H5594); Optimum Diamond Rewards (HMO C-SNP) (H5594-034-000, H5594); Optimum Diamond Rewards COPD (HMO C-SNP) (H5594-029-000, H5594); Optimum Platinum Plan (HMO) (H5594-002-000, H5594); Optimum Gold Plus Plan (HMO) (H5594-032-000, H5594); Optimum Diamond Savings COPD (HMO C-SNP) (H5594-031-000, H5594); Optimum Diamond Savings (HMO C-SNP) (H5594-030-000, H5594); Optimum Diamond Rewards COPD (HMO C-SNP) (H5594-035-000, H5594)

Affiliated clinicians 6

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

• Imtiaz Matin Ather, D.O.

  • Nephrology Physician
  • Jupiter, FL
  • NPI 1518193226

  Dialysis facility

  Care Compare affiliation Name & address match
• Aleksandar Milovanovic, MD

  • Nephrology Physician
  • Jupiter, FL
  • NPI 1275589764

  Dialysis facility

  Care Compare affiliation Name & address match
• Kerim I Oncu, DO

  • Internal Medicine Physician
  • Jupiter, FL
  • NPI 1346299245

  Dialysis facility

  Care Compare affiliation Name & address match
• Ramon Ortiz Espinal, MD

  • Nephrology Physician
  • Jupiter, FL
  • NPI 1215369129

  Dialysis facility

  Care Compare affiliation Name & address match
• Jaideep Puri, M.D.

  • Nephrology Physician
  • Jupiter, FL
  • NPI 1184673444

  Dialysis facility

  Care Compare affiliation Name & address match
• Jack Waterman, D.O.

  • Nephrology Physician
  • Palm Beach Gardens, FL
  • NPI 1588623128

  Dialysis facility

  Care Compare affiliation Name & address match

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

{
    "created_epoch": "1152230400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1780876800000",
    "number": "1790717791",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1701 MILITARY TRL",
            "address_2": "SUITE 140",
            "city": "JUPITER",
            "state": "FL",
            "postal_code": "334586330",
            "telephone_number": "561-744-4661",
            "fax_number": "561-743-9846"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1701 MILITARY TRL",
            "address_2": "SUITE 140",
            "city": "JUPITER",
            "state": "FL",
            "postal_code": "334586330",
            "telephone_number": "561-744-4661",
            "fax_number": "561-743-9846"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JUPITER KIDNEY CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-07",
        "last_updated": "2026-06-08",
        "certification_date": "2026-06-08",
        "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": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "891220300",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jupiter Hospitalists Inc
• Jupiter Imaging Associates Inc
• Jupiter Infusion LLC
• Jupiter Internal Medicine Associates P a
• Jupiter Internal Medicine Group LLC
• Jupiter Lakes Physician Group PA
• Jupiter Laser and Regenerative Medicine LLC
• Jupiter Medical Center Pavilion Inc
• Jupiter Medical Center Pavilion, Inc. (Lighthouse Detox)
• Jupiter Medical Center Physician Group

• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Jupiter, FL
• Providers in Jupiter, 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 Jun 8, 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.