GIRARD ESTATES DIALYSIS
NPI 1295344307
Clinic/Center - End-Stage Renal Disease (ESRD) Treatment in Philadelphia, PA
NPI Status: Active since July 24, 2020
Contact Information
1930 S BROAD ST
STE 7
PHILADELPHIA, PA
ZIP 19145
Phone: (215) 463-3120
Fax: (215) 463-3107
- Organization
- Clinic/Center
- End-Stage Renal Disease (ESRD) Treatment
- Accepts Insurance
- CLIA Number: 39D2094836
- CLIA Cert. Type: End Stage Renal Disease Dialysis Facility
- CLIA Exp. Date: 04-23-2027
About GIRARD ESTATES DIALYSIS
This page provides the complete NPI Profile along with additional information for Girard Estates Dialysis, a provider established in Philadelphia, Pennsylvania operating as a Clinic/center, focusing in end-stage renal disease (esrd) treatment . The healthcare provider is registered in the NPI registry with number 1295344307 assigned on July 2020. The practitioner's primary taxonomy code is 261QE0700X. The provider is registered as an organization and their NPI record was last updated 4 years ago. The provider's is doing business as Girard Estates Dialysis. The authorized official of this NPI record is John D Winstel (Chief Accounting Officer)
- NPI
- 1295344307
- Provider Legal Name
- ISD RENAL INC
- Other Organization Name
- GIRARD ESTATES DIALYSIS
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 1930 S BROAD ST STE 7 PHILADELPHIA, PA 19145
- Location Phone
- (215) 463-3120
- Location Fax
- (215) 463-3107
- Mailing Address
- 5200 VIRGINIA WAY L&C DEPT BRENTWOOD, TN 37027
- Mailing Phone
- (615) 341-6410
- Mailing Fax
- (215) 463-3107
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- Yes
- Enumeration Date
- 07-24-2020
- Last Update Date
- 06-18-2021
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Clinic/Center End-Stage Renal Disease (ESRD) Treatment
- Taxonomy Code
- 261QE0700X
- Type
- Ambulatory Health Care Facilities
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Bronze 2 Advanced HSA: Aetna network + MinuteClinic + Virtual Primary Care - HMO
- Bronze 4 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Care 24/7 - HMO
- Bronze 4 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + Adult Dental + Vision - HMO
- Bronze S: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Care 24/7 - HMO
- Gold 10 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Care 24/7 - HMO
- Gold 10 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + Adult Dental + Vision - HMO
- Gold 3 Advanced: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Care 24/7 - HMO
- Gold 3 Advanced: Aetna network + $0 MinuteClinic + Adult Dental + Vision - HMO
- Gold S: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Care 24/7 - HMO
- Silver 10 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Care 24/7 - HMO
- Silver 10 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + Adult Dental + Vision - HMO
- Silver 5 Advanced: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Care 24/7 - HMO
- Silver S: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Care 24/7 - HMO
- Silver S: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Care 24/7 + Adult Dental+Vision - HMO
- Clear Silver - HMO
- Elite Bronze - HMO
- Elite Bronze + Vision + Adult Dental - HMO
- Elite Gold - HMO
- Elite Gold + Vision + Adult Dental - HMO
- Everyday Bronze - HMO
- Everyday Bronze + Vision + Adult Dental - HMO
- Everyday Gold - HMO
- Everyday Gold + Vision + Adult Dental - HMO
- Focused Silver - HMO
- Focused Silver + Vision + Adult Dental - HMO
- Standard Expanded Bronze - HMO
- Standard Expanded Bronze + Vision + Adult Dental - HMO
- Standard Gold - HMO
- Standard Gold + Vision + Adult Dental - HMO
- Standard Silver - HMO
- Standard Silver + Vision + Adult Dental - HMO
- Choice Bronze HSA - HMO
- Choice Bronze HSA + Vision + Adult Dental - HMO
- Clear Gold - HMO
- Clear Gold + Vision + Adult Dental - HMO
- Clear Silver - HMO
- Complete Gold - HMO
- Complete Gold + Vision + Adult Dental - HMO
- Complete Silver - HMO
- Complete Silver + Vision + Adult Dental - HMO
- Elite Bronze - HMO
- Elite Bronze + Vision + Adult Dental - HMO
- Elite Gold - HMO
- Elite Gold + Vision + Adult Dental - HMO
- Elite Silver - HMO
- Elite Silver + Vision + Adult Dental - HMO
- Everyday Bronze - HMO
- Everyday Bronze + Vision + Adult Dental - HMO
- Everyday Gold - HMO
- Everyday Gold + Vision + Adult Dental - HMO
- Focused Silver - HMO
- Clear Gold - EPO
- Clear Gold + Vision + Adult Dental - EPO
- Complete Gold - EPO
- Complete Gold + Vision + Adult Dental - EPO
- Elite Silver - EPO
- Elite Silver + Vision + Adult Dental - EPO
- Everyday Bronze - EPO
- Everyday Bronze + Vision + Adult Dental - EPO
- Focused Silver - EPO
- Focused Silver + Vision + Adult Dental - EPO
- Premier Bronze HSA - EPO
- Premier Bronze HSA + Vision + Adult Dental - EPO
- Standard Expanded Bronze - EPO
- Standard Expanded Bronze + Vision + Adult Dental - EPO
- Standard Gold - EPO
- Standard Gold + Vision + Adult Dental - EPO
- Standard Silver - EPO
- Bronze Classic 4700 (Select) - HMO
- Bronze Classic PCP Saver (Select) - HMO
- Bronze Classic Standard (Select) - HMO
- Gold Classic (Select) - HMO
- Gold Classic Standard (Select) - HMO
- Gold Elite Saver Plus (Select) - HMO
- Secure (Select) - HMO
- Silver Classic Standard (Select) - HMO
- Silver Elite Saver Plus (Select) - HMO
- Silver Simple Chronic Care CKM (Select) - HMO
- Silver Simple PCP Saver (Select) - HMO
- Bronze Classic 4700 - HMO
- Bronze Classic 4700 | with Atrium Health - HMO
- Bronze Classic Standard - HMO
- Bronze Classic Standard | with Atrium Health - HMO
- Bronze Elite + PCP Saver Plus - HMO
- Bronze Elite + PCP Saver Plus | with Atrium Health - HMO
- Gold Classic Standard - HMO
- Gold Classic Standard | with Atrium Health - HMO
- Gold Elite Saver Plus - HMO
- Gold Elite Saver Plus | with Atrium Health - HMO
- Secure - HMO
- Secure | with Atrium Health - HMO
- Silver Classic - HMO
- Silver Classic | with Atrium Health - HMO
- Silver Classic Standard - HMO
- Silver Classic Standard | with Atrium Health - HMO
- Silver Simple Diabetes - HMO
- Silver Simple Diabetes | with Atrium Health - HMO
- Silver Simple PCP Saver - HMO
- Silver Simple PCP Saver | with Atrium Health - HMO
- Bronze Classic 4700 - HMO
- Bronze Classic 4700 (Select) - HMO
- Bronze Classic PCP Saver Plus Rx Copay (Select) - HMO
- Bronze Classic Standard - HMO
- Bronze Classic Standard (Choice) - HMO
- Bronze Classic Standard (Select) - HMO
- Bronze Elite + PCP Saver Plus - HMO
- Gold Classic - HMO
- Gold Classic Standard - HMO
- Gold Classic Standard (Choice) - HMO
- Gold Classic Standard (Select) - HMO
- Secure - HMO
- Secure (Choice) - HMO
- Silver Classic Standard - HMO
- Silver Classic Standard (Choice) - HMO
- Silver Classic Standard (Select) - HMO
- Silver Elite Saver Plus - HMO
- Silver Elite Saver Plus Rx Copay (Select) - HMO
- Silver Simple Chronic Care CKM - HMO
- Silver Simple Diabetes (Choice) - HMO
- Bronze Classic - EPO
- Bronze Classic 4700 - EPO
- Bronze Classic 4700 - PPO
- Bronze Classic 4700 | MercyOne - EPO
- Bronze Classic Standard - EPO
- Bronze Classic Standard - PPO
- Bronze Classic Standard | MercyOne - EPO
- Bronze Elite + PCP Saver - EPO
- Bronze Elite + PCP Saver Plus - EPO
- Bronze Elite + PCP Saver Plus - PPO
- Bronze Elite + PCP Saver Plus | MercyOne - EPO
- Gold Classic - EPO
- Gold Classic Standard - EPO
- Gold Classic Standard - PPO
- Gold Classic Standard | MercyOne - EPO
- Gold Elite - EPO
- Gold Elite | MercyOne - EPO
- Gold Elite Saver Plus - EPO
- Secure - EPO
- Secure - PPO
- Bronze Classic 4700 - EPO
- Bronze Classic Standard - EPO
- Bronze Elite + PCP Saver Plus - EPO
- Gold Classic Standard - EPO
- Gold Elite - EPO
- Gold Elite Saver Plus - EPO
- Secure - EPO
- Silver Classic Standard - EPO
- Silver Elite - EPO
- Silver Simple Chronic Care CKM - EPO
- Silver Simple Diabetes - EPO
- Silver Simple PCP Saver - EPO
- Bronze Classic PCP Saver - HMO
- Bronze Classic Standard - HMO
- Bronze Simple HSA - HMO
- Gold Classic Standard - HMO
- Gold Elite - HMO
- Gold Elite Saver Plus - HMO
- Secure - HMO
- Silver Classic Standard - HMO
- Silver Elite Saver Plus - HMO
- Silver Simple Chronic Care CKM - HMO
- Silver Simple Diabetes - HMO
- Silver Simple PCP Saver - HMO
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 39D2094836
- Facility Type
- End Stage Renal Disease Dialysis Facility
- Certificate Effective Date
- April 24, 2025
- Certificate Expiration Date
- April 23, 2027
- Laboratory Director
- DR. LARRY E. KREVOLIN
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Girard Estates Dialysis to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.
Reviews for GIRARD ESTATES DIALYSIS
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 2 | 9 | 5 | 3 | 4 | 4 | 3 | 0 | 7 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 2 | 18 | 5 | 6 | 4 | 8 | 3 | 0 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 2 + 1 + 8 + 5 + 6 + 4 + 8 + 3 + 0 + 24 = 63 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 70 - 63 = 7 | 7 | ||||||||
The NPI number 1295344307 is valid because the calculated check digit 7 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 20 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1437107596 | DR. KHOI DANG M.D. Individual | Pediatrics | 1930 S BROAD ST 2ND FLOOR PHILADELPHIA, PA 19145 (215) 467-5870 |
| 1255351490 | DR. ANTHONY LUBERTI MD Individual | Pediatrics | 1930 S BROAD ST UNIT 5 PHILADELPHIA, PA 19145 (215) 467-5870 |
| 1174543086 | DR. TARANEH BEHIN-AEIN MD Individual | Pediatrics | 1930 S BROAD ST UNIT 5 PHILADELPHIA, PA 19145 (215) 467-5870 |
| 1083634992 | DR. SUSAN ORTOLANO MD Individual | Pediatrics | 1930 S BROAD ST UNIT 5 PHILADELPHIA, PA 19145 (215) 567-5870 |
| 1134141468 | DR. ANNA-MARIE TIERNEY M.D. Individual | Pediatrics | 1930 S BROAD ST UNIT 5 PHILADELPHIA, PA 19145 (215) 467-5870 |
| 1356363519 | DR. ROBERT GRUNDMEIER MD Individual | Pediatrics | 1930 S BROAD ST UNIT 5 PHILADELPHIA, PA 19145 (215) 467-5870 |
| 1881603363 | DR. KRISTEN NASTO MD Individual | Pediatrics | 1930 S BROAD ST UNIT 5 PHILADELPHIA, PA 19145 (215) 476-5870 |
| 1982613444 | DR. DOROTHY NOVICK MD Individual | Pediatrics | 1930 S BROAD ST UNIT 5 PHILADELPHIA, PA 19145 (215) 467-5870 |
| 1114056819 | DR. LAURA MICHELLE GESSMAN M.D. Individual | Pediatrics | 1930 S BROAD ST UNIT 5 PHILADELPHIA, PA 19145 (215) 467-5870 |
| 1932470804 | MS. JOHANNA ROSE YURKOW DNP, RN Individual | Registered Nurse (Gerontology) | 1930 S BROAD ST PHILADELPHIA, PA 19145 (215) 339-4561 |
| 1699048868 | MARTHA SHEELY RN Individual | Registered Nurse (Home Health) | 1930 S BROAD ST PHILADELPHIA, PA 19145 (215) 339-4563 |
| 1508139668 | MRS. SUZANNE ROSE JANUSZESKI RN Individual | Registered Nurse | 1930 S BROAD ST PHILADELPHIA, PA 19145 (215) 339-4563 |
| 1891069720 | MS. GINA FAGAN CHAPMAN RN Individual | Registered Nurse | 1930 S BROAD ST PHILADELPHIA, PA 19145 (215) 339-4563 |
| 1013281930 | MISS JAQUELINE D INTRIAGO Individual | Registered Nurse | 1930 S BROAD ST PHILADELPHIA, PA 19145 (215) 339-4563 |
| 1215201199 | ELIZABETH A. MCGLYNN R.N. Individual | Registered Nurse | 1930 S BROAD ST PHILADELPHIA, PA 19145 (215) 339-4563 |
| 1053685776 | CHRISTINE MATTEO RN Individual | Registered Nurse | 1930 S BROAD ST PHILADELPHIA, PA 19145 (215) 339-4563 |
| 1871867598 | MS. KIMBERLY BERNICE NELSON MS, MBA, RN Individual | Registered Nurse (Continuing Education/Staff Development) | 1930 S BROAD ST PHILADELPHIA, PA 19145 (215) 339-4563 |
| 1043584519 | MS. SHINIA BRADLEY RN Individual | Registered Nurse | 1930 S BROAD ST PHILADELPHIA, PA 19145 (215) 339-4563 |
| 1104190289 | MRS. CAITLIN ANN GUNNELLS CTRS Individual | Recreation Therapist | 1930 S BROAD ST PHILADELPHIA, PA 19145 (215) 339-4563 |
| 1144595091 | MRS. LESLY ORTIZ Individual | Registered Nurse | 1930 S BROAD ST PHILADELPHIA, PA 19145 (215) 339-4563 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1295344307, enumerated in the NPI registry as an "organization" on July 24, 2020
The provider is located at 1930 S Broad St Ste 7 Philadelphia, Pa 19145 and the phone number is (215) 463-3120
This medical organization specializes in Clinic/Center with taxonomy code 261QE0700X with a focus in End-Stage Renal Disease (ESRD) Treatment
The provider might be accepting Accepts: Aetna CVS Health, Ambetter from Meridian, Ambetter. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
The provider's CLIA number is 39D2094836 for a "end stage renal disease dialysis facility" facility with a CLIA Certificate of Waiver. This CLIA certificate is issued to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria..
This NPI record was last updated on July 24, 2020. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.