COLONIAL KIDNEYCARE SPECIALISTS, PC – Nephrology Physician, NPI 1528451671

COLONIAL KIDNEYCARE SPECIALISTS, PC is a healthcare provider. based in Colonial heights, Virginia. specializing in Nephrology Physician. The organization holds a License No. 0101236668 (VA). The NPI Number for COLONIAL KIDNEYCARE SPECIALISTS, PC is 1528451671

Main info

Organization
Name
COLONIAL KIDNEYCARE SPECIALISTS, PC
NPI
1528451671
Phone
(804) 504-0068
Address
3601 BOULEVARD
Authorized Official
SATISH K BANKURU PRESIDENT M.D.
Enumeration Date
13 March 2015
Last Update Date
13 March 2015
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience36
Completeness75
Years active:11State licenses:1Digital endpointsOther names

Provider Addresses for COLONIAL KIDNEYCARE SPECIALISTS, PC

  • 3601 BOULEVARD

    SUITE C

    COLONIAL HEIGHTS, VA 238341338

    Phone: (804) 504-0068

    Fax: (804) 504-0080

    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: 2015-08-18

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
O20150818004783OClinic/Group PracticeVATBD

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 23834)

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Reviews

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Frequently asked questions

What number should I use to identify COLONIAL KIDNEYCARE SPECIALISTS, PC for billing?
Administrative and clinical systems typically use NPI 1528451671 for COLONIAL KIDNEYCARE SPECIALISTS, PC.
Is COLONIAL KIDNEYCARE SPECIALISTS, PC currently accepting referrals based on NPI status?
Registry metadata lists COLONIAL KIDNEYCARE SPECIALISTS, PC as active.
Which specialty label fits COLONIAL KIDNEYCARE SPECIALISTS, PC?
NPPES ties COLONIAL KIDNEYCARE SPECIALISTS, PC to Nephrology Physician in the taxonomy section. Clinical services aligned with this taxonomy classification.
Which community is linked to COLONIAL KIDNEYCARE SPECIALISTS, PC?
COLONIAL KIDNEYCARE SPECIALISTS, PC shows a connection to Colonial Heights, Virginia in registry-derived data.
Can I verify credentials using only NPI?
NPI confirms identity in the directory; licensure and board certification require separate checks.

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