KIDNEY CARE SPECIALISTS LLC – Nephrology Physician, NPI 1962992404
Nephrology Physician
Main info
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for KIDNEY CARE SPECIALISTS LLC
2000 SPROUL RD STE 300
BROOMALL, PA 190083509
Phone: (610) 295-1046
Fax: (484) 403-7297
Type: Mailing
1001 Reed Ave Ste 410
Wyomissing, PA 196102731
Phone: (610) 649-1175
Type: Location
4343 Union Deposit Rd
Harrisburg, PA 171112907
Phone: (717) 972-2821
Type: Location
850 Walnut Bottom Rd Ste 102A
Carlisle, PA 170133615
Phone: (717) 972-2821
Type: Location
2014 City Line Rd Ste 103
Bethlehem, PA 180172190
Phone: (610) 432-4529
Type: Location
168 S Sgt Stanley Hoffman Blvd
Lehighton, PA 182352230
Phone: (610) 432-4529
Type: Location
45 Constitution Blvd
Kutztown, PA 195301737
Phone: (610) 432-4529
Type: Location
1105 Bethlehem Pike Unit B5
Sellersville, PA 189601454
Phone: (215) 257-4533
Type: Location
292 E Brown St
East Stroudsburg, PA 183013006
Phone: (610) 432-4529
Type: Location
525 E West St
Wind Gap, PA 180911255
Phone: (610) 432-4529
Type: Location
278 Industrial Park Rd
Pottsville, PA 179019126
Phone: (570) 429-1432
Type: Location
175 S 21st St
Easton, PA 180423835
Phone: (610) 258-3608
Type: Location
259 E Lancaster Ave
Wynnewood, PA 190961915
Phone: (484) 413-2900
Type: Location
795 E Marshall St Ste G20
West Chester, PA 193804400
Phone: (610) 789-6320
Type: Location
207 House Ave Ste 110
Camp Hill, PA 170112308
Phone: (717) 972-2821
Type: Location
2223 E High St
Pottstown, PA 194643215
Phone: (610) 649-1175
Type: Location
420 W Linfield Trappe Rd Ste 100
Limerick, PA 194684279
Phone: (610) 649-1175
Type: Location
824 Main St Ste 204
Phoenixville, PA 194604478
Phone: (610) 649-1175
Type: Location
125 Medical Campus Dr Ste 300
Lansdale, PA 194467205
Phone: (267) 437-3163
Type: Location
2014 City Line Rd Ste 101
Bethlehem, PA 180172167
Phone: (610) 264-5199
Type: Location
609 W Germantown Pike Ste 210
East Norriton, PA 194034251
Phone: (610) 649-1175
Type: Location
95 Highland Ave Ste 309
Bethlehem, PA 180179424
Phone: (610) 295-1046
Fax: (484) 403-7297
Type: Location
1230 S Cedar Crest Blvd
Suites 301, 302 and 304
Allentown, PA 181036212
Phone: (610) 432-4529
Fax: (610) 432-2206
Type: Location
100 E Lancaster Ave Ste 164
Wynnewood, PA 190963427
Phone: (610) 649-1175
Type: Location
10 E Moreland Ave Ste 100
Philadelphia, PA 191183541
Phone: (267) 437-3163
Type: Location
1050 Kreider Dr
Middletown, PA 170573091
Phone: (717) 972-2821
Type: Location
75 Evelyn Dr
Millersburg, PA 170611258
Phone: (717) 972-2821
Type: Location
345 Newberry Cmns
Etters, PA 173199315
Phone: (717) 972-2821
Type: Location
38-42 N Londonderry Sq
Palmyra, PA 17078
Phone: (717) 972-2821
Type: Location
824 Main St Ste 203
Phoenixville, PA 194604478
Phone: (610) 649-1175
Type: Location
218 S Carlisle St
New Bloomfield, PA 170689656
Phone: (717) 972-2821
Type: Location
471 Center St
Phillipsburg, NJ 088652665
Phone: (610) 258-3608
Type: Location
South Cedar Crest Boulevard, Bungalow Park, Cetronia, South Whitehall Township, Lehigh County, Pennsylvania, 18104, United States
ALLENTOWN, PA 181036212
Phone: (610) 432-4529
Fax: (610) 432-2206
Type: Location
Highland Avenue, Rosemont Terrace, Bethlehem, Lehigh County, Pennsylvania, 18018, United States
BETHLEHEM, PA 180179424
Phone: (610) 295-1046
Fax: (484) 403-7297
Type: Mailing
95 HIGHLAND AVE STE 309
BETHLEHEM, PA 180179424
Phone: (610) 295-1046
Fax: (484) 403-7297
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: 2018-11-27
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Past revalidation due date
Earliest CMS due date was 2023-10-31 (954 days ago).
Enrollment records
2
Earliest due date
2023-10-31
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 |
|---|---|---|---|---|
| O20180928000934 | O | Clinic/Group Practice | NJ | 2023-10-31 |
| O20181127000039 | O | Clinic/Group Practice | PA | 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 19008)
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