Renalus Center for Kidney Care – Nephrology Physician, NPI 1518969765
Nephrology Physician
Main info
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for Renalus Center for Kidney Care
2583 Gulf Breeze Pkwy
Gulf Breeze, FL 325633043
Phone: (850) 444-4700
Fax: (850) 434-8144
Type: Location
598 N Fairfield Dr Ste 100
Pensacola, FL 325064320
Phone: (850) 444-4700
Fax: (850) 434-8144
Type: Location
8333 N Davis Hwy
Pensacola, FL 325146050
Phone: (850) 444-4700
Fax: (850) 444-7497
Type: Location
5934 Berryhill Medical Park Dr Ste 1
Milton, FL 32570
Phone: (850) 623-4771
Fax: (850) 623-3938
Type: Location
6001 Industrial Blvd
Century, FL 325353312
Phone: (850) 444-4700
Fax: (850) 434-8144
Type: Location
221 E Redstone Ave
Crestview, FL 325395373
Phone: (850) 398-6606
Fax: (850) 398-6424
Type: Location
319 Green Acres Rd Ste 103
Fort Walton Beach, FL 325471170
Phone: (850) 862-2385
Fax: (850) 862-0482
Type: Location
1118 Gulf Breeze Pkwy Ste 200
Gulf Breeze, FL 325617806
Phone: (850) 444-4700
Fax: (850) 434-8144
Type: Location
Creighton Road, Gull Point, Pensacola, Escambia County, Florida, 32504, United States
PENSACOLA, FL 325047152
Phone: (850) 444-4700
Fax: (850) 434-8144
Type: Location
PO BOX 11037
PENSACOLA, FL 325241037
Phone: (850) 444-4700
Fax: (850) 444-7497
Type: Mailing
4304 Lancaster Dr
Niceville, FL 325784563
Phone: (850) 862-2385
Fax: (850) 862-0482
Type: Location
5819 Highway 90
Milton, FL 325831763
Phone: (850) 444-4700
Fax: (850) 444-7497
Type: Location
700 E Cervantes St
Pensacola, FL 325013487
Phone: (850) 444-4700
Fax: (850) 434-8144
Type: Location
5149 N 9th Ave Ste G35
Pensacola, FL 325048733
Phone: (850) 444-4700
Fax: (850) 434-8144
Type: Location
2940 N Blue Angel Pkwy
Pensacola, FL 325062925
Phone: (850) 444-4700
Fax: (850) 434-8144
Type: Location
14114 Alabama St
Jay, FL 325651219
Phone: (850) 444-4700
Fax: (850) 434-8144
Type: Location
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: 2004-04-29
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Past revalidation due date
Earliest CMS due date was 2023-12-31 (889 days ago).
Enrollment records
1
Earliest due date
2023-12-31
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| O20040429001260 | O | Clinic/Group Practice | FL | 2023-12-31 |
What to do next
- Verify current status on the CMS Revalidation Lookup Tool immediately.
- Complete revalidation in PECOS or contact your Medicare Administrative Contractor (MAC).
- Overdue revalidation can lead to deactivation of Medicare billing privileges.
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 32563)
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