Ryze Kidney Care – End-Stage Renal Disease (ESRD) Treatment Clinic/Center, NPI 1043909120

Ryze Kidney Care is a healthcare provider. based in Tampa, Florida. specializing in End-Stage Renal Disease (ESRD) Treatment Clinic/Center. The NPI Number for Ryze Kidney Care is 1043909120

Main info

Organization
Name
Ryze Kidney Care
NPI
1043909120
Phone
(813) 353-1268
Address
200 S MACDILL AVE
Authorized Official
DR. WANDA E CRUZ PRESIDENT DO
Enumeration Date
3 May 2023
Last Update Date
22 January 2024
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience31
Completeness80
Years active:3State licenses:0Digital endpointsUpdated within 12 months

Provider Addresses for Ryze Kidney Care

  • 200 S MACDILL AVE

    TAMPA, FL 336093532

    Phone: (813) 353-1268

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2024-01-10

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
O20240110004419OEnd-Stage Renal Disease Facility (Esrd)FLTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 33609)

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Reviews

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Frequently asked questions

How do I look up Ryze Kidney Care by NPI?
Use NPI 1043909120 when you need to reference Ryze Kidney Care in forms, claims, or directories.
Is Ryze Kidney Care active in the national directory?
Ryze Kidney Care's public NPI profile is in an active state.
What field does Ryze Kidney Care work in?
You can think of Ryze Kidney Care as practicing within End-Stage Renal Disease (ESRD) Treatment Clinic/Center. Clinical services aligned with this taxonomy classification.
Where does public data place Ryze Kidney Care?
The snapshot lists Tampa, Florida for Ryze Kidney Care; download NPPES for the complete set.
Is Ryze Kidney Care a real provider?
This page reflects official NPPES data for NPI 1043909120. Always confirm identity and privileges with the practice and licensing boards.

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