FREDERICKSBURG NEPHROLOGY ASSOCIATES, INC. – Nephrology Physician, NPI 1861583510

FREDERICKSBURG NEPHROLOGY ASSOCIATES, INC. is a healthcare provider. based in Fredericksburg, Virginia. specializing in Nephrology Physician. The NPI Number for FREDERICKSBURG NEPHROLOGY ASSOCIATES, INC. is 1861583510

Main info

Organization
Name
FREDERICKSBURG NEPHROLOGY ASSOCIATES, INC.
NPI
1861583510
Phone
(540) 371-3010
Address
101 PARK HILL DR
Authorized Official
TAMMY PROVENCHER CREDENTIALING SUPERVISOR PROVENCHER
Enumeration Date
27 September 2006
Last Update Date
17 November 2025
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience53
Completeness85
Years active:19State licenses:0Digital endpointsOther names

Loading map...

Provider Addresses for FREDERICKSBURG NEPHROLOGY ASSOCIATES, INC.

  • 101, Park Hill Drive, Fredericksburg, Fredericksburg City, Virginia, 22401, United States

    FREDERICKSBURG, VA 224013357

    Phone: (540) 371-3010

    Fax: (540) 899-9821

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

Loading prescription activity...

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: 2004-06-29

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Past revalidation due date

Earliest CMS due date was 2023-09-30 (985 days ago).

Enrollment records

1

Earliest due date

2023-09-30

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
O20040629000253OClinic/Group PracticeVA2023-09-30

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.

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 22401)

Loading plans...

Reviews

All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.

No reviews yet. Be the first to share your experience — your opinion helps families compare providers.

Frequently asked questions

Does FREDERICKSBURG NEPHROLOGY ASSOCIATES, INC. have a public NPI I can cite?
Public records show FREDERICKSBURG NEPHROLOGY ASSOCIATES, INC. under NPI 1861583510.
Is FREDERICKSBURG NEPHROLOGY ASSOCIATES, INC. currently accepting referrals based on NPI status?
Registry metadata lists FREDERICKSBURG NEPHROLOGY ASSOCIATES, INC. as active.
How should patients interpret FREDERICKSBURG NEPHROLOGY ASSOCIATES, INC.'s specialty?
The extract shows Nephrology Physician for FREDERICKSBURG NEPHROLOGY ASSOCIATES, INC.. Clinical services aligned with this taxonomy classification.
What geographic area is tied to FREDERICKSBURG NEPHROLOGY ASSOCIATES, INC.?
FREDERICKSBURG NEPHROLOGY ASSOCIATES, INC. is associated with Fredericksburg, Virginia in the same public data insurers reference.
Can I verify credentials using only NPI?
NPI confirms identity in the directory; licensure and board certification require separate checks.

Similar Providers

DR. THOMAS P OFFICER (M.D.)

Nephrology Physician
101, Park Hill Drive, Fredericksburg, Fredericksburg City, Virginia, 22401, United States
NPI: 1003885898

DR. ROBERT G CANADY (M.D.)

Nephrology Physician
101, Park Hill Drive, Fredericksburg, Fredericksburg City, Virginia, 22401, United States
NPI: 1629025234

DR. RANDY A GERTNER (MD)

Nephrology Physician
101, Park Hill Drive, Fredericksburg, Fredericksburg City, Virginia, 22401, United States
NPI: 1285745752

DR. THOMAS P FORTUNE (MD)

Nephrology Physician
101, Park Hill Drive, Forest Village, Fredericksburg, Virginia, 22401, United States
NPI: 1134223274

DR. TARIK NOURELDEEN (M.D.)

Nephrology Physician
101, Park Hill Drive, Fredericksburg, Fredericksburg City, Virginia, 22401, United States
NPI: 1720280886

DR. ANKUR SANDHU (M.D.)

Nephrology Physician
101 PARK HILL DR
NPI: 1285838698
101, Park Hill Drive, Fredericksburg, Fredericksburg City, Virginia, 22401, United States
NPI: 1649467002

DR. REGINALD JOSEPH (MD)

Nephrology Physician
Jefferson Davis Highway, Fredericksburg, Fredericksburg City, Virginia, 22401, United States
NPI: 1285895466

USMAN JAVED RAHMAT

Nephrology Physician
Jefferson Davis Highway, Fredericksburg, Fredericksburg City, Virginia, 22401, United States
NPI: 1306007067