Active NPI
Rai Care Centers of Maryland I, LLC
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Beltsville, MD
National Provider Identifier
1790870335
On this page
Key facts
NPPES NPI Registry- Primary specialty
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Legal business name
- RAI CARE CENTERS OF MARYLAND I, LLC
- Doing business as
- RAI - BALTIMORE - BELTSVILLE
- Practice address
- 10701 Baltimore Ave
Beltsville, MD 20705-2113 - Phone
- (301) 595-0263
- Fax
- (301) 595-3724
- NPI assigned
- Oct 3, 2006
- Organization subpart
- Yes
- Parent organization
- FRESENIUS MEDICAL CARE HOLDINGS, INC.
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Barry L. Blanton
- Title
- Vice President
- Phone
- (781) 699-9000
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| End-Stage Renal Disease (ESRD) Treatment Clinic/Center | 261QE0700X | Primary |
Addresses
Primary practice location
10701 Baltimore Ave
Beltsville, MD 20705-2113
Mailing address
10701 Baltimore Ave
Beltsville, MD 20705-2113
Phone (301) 595-0263
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 184604 | Other | VA | ANTHEM VA BCBS |
| 037977200 | Medicaid | DC | |
| 409585502 | Medicaid | MD | |
| 88190201 | Other | MD | CAREFIRST BCBS |
Other names 1
- RAI - BALTIMORE - BELTSVILLE
National Provider Directory
National Provider DirectoryMember of 1
Organizations this organization is a member of, according to the National Provider Directory.
-
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Bristol, TN
- NPI 1477570117
Member Of
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159833600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1630022400000",
"number": "1790870335",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10701 BALTIMORE AVE",
"city": "BELTSVILLE",
"state": "MD",
"postal_code": "207052113",
"telephone_number": "301-595-0263",
"fax_number": "301-595-3724"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10701 BALTIMORE AVE",
"city": "BELTSVILLE",
"state": "MD",
"postal_code": "207052113",
"telephone_number": "301-595-0263",
"fax_number": "301-595-3724"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "RAI CARE CENTERS OF MARYLAND I, LLC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "FRESENIUS MEDICAL CARE HOLDINGS, INC.",
"enumeration_date": "2006-10-03",
"last_updated": "2021-08-27",
"certification_date": "2021-08-27",
"status": "A",
"authorized_official_last_name": "BLANTON",
"authorized_official_first_name": "BARRY",
"authorized_official_middle_name": "L.",
"authorized_official_title_or_position": "VICE PRESIDENT",
"authorized_official_telephone_number": "781-699-9000"
},
"taxonomies": [
{
"code": "261QE0700X",
"taxonomy_group": "",
"desc": "Clinic/Center, End-Stage Renal Disease (ESRD) Treatment",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM VA BCBS",
"identifier": "184604",
"state": "VA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "037977200",
"state": "DC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "409585502",
"state": "MD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAREFIRST BCBS",
"identifier": "88190201",
"state": "MD"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "RAI - BALTIMORE - BELTSVILLE",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Beltsville, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.