UNIVERSAL KIDNEY CENTER OF PEMBROKE PINES-MIRAMAR LLC – End-Stage Renal Disease (ESRD) Treatment Clinic/Center, NPI 1215959184

UNIVERSAL KIDNEY CENTER OF PEMBROKE PINES-MIRAMAR LLC is a healthcare provider. based in Pembroke pines, Florida. specializing in End-Stage Renal Disease (ESRD) Treatment Clinic/Center. The NPI Number for UNIVERSAL KIDNEY CENTER OF PEMBROKE PINES-MIRAMAR LLC is 1215959184

Main info

Organization
Name
UNIVERSAL KIDNEY CENTER OF PEMBROKE PINES-MIRAMAR LLC
NPI
1215959184
Phone
(954) 433-9400
Address
18004 NW 6TH ST STE 101
Authorized Official
MR. ELMO ANGELO V. BARTOLOME PRESIDENT
Enumeration Date
23 July 2006
Last Update Date
8 February 2008
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience48
Completeness75
Years active:19State licenses:0Digital endpointsOther names

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Provider Addresses for UNIVERSAL KIDNEY CENTER OF PEMBROKE PINES-MIRAMAR LLC

  • Northwest 6th Street, Pembroke Pines, Broward County, Florida, 33024, United States

    PEMBROKE PINES, FL 330292823

    Phone: (954) 433-9400

    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: 2006-11-21

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
O20061121000087OEnd-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 33029)

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Reviews

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Frequently asked questions

How do I look up UNIVERSAL KIDNEY CENTER OF PEMBROKE PINES-MIRAMAR LLC by NPI?
Use NPI 1215959184 when you need to reference UNIVERSAL KIDNEY CENTER OF PEMBROKE PINES-MIRAMAR LLC in forms, claims, or directories.
Is UNIVERSAL KIDNEY CENTER OF PEMBROKE PINES-MIRAMAR LLC's enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
What kind of provider is UNIVERSAL KIDNEY CENTER OF PEMBROKE PINES-MIRAMAR LLC?
The page reflects End-Stage Renal Disease (ESRD) Treatment Clinic/Center for UNIVERSAL KIDNEY CENTER OF PEMBROKE PINES-MIRAMAR LLC. Clinical services aligned with this taxonomy classification.
Where does public data place UNIVERSAL KIDNEY CENTER OF PEMBROKE PINES-MIRAMAR LLC?
The snapshot lists Pembroke Pines, Florida for UNIVERSAL KIDNEY CENTER OF PEMBROKE PINES-MIRAMAR LLC; download NPPES for the complete set.
Is UNIVERSAL KIDNEY CENTER OF PEMBROKE PINES-MIRAMAR LLC a real provider?
This page reflects official NPPES data for NPI 1215959184. Always confirm identity and privileges with the practice and licensing boards.

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