INDEPENDENT DIALYSIS FOUNDATION, INC
NPI 1487662243
Clinic/Center - End-Stage Renal Disease (ESRD) Treatment in Baltimore, MD

NPI Status: Active since August 04, 2006

Contact Information

611 S CHARLES ST
BALTIMORE, MD
ZIP 21230
Phone: (410) 468-0900
Fax: (410) 468-0911

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  • Organization
  • Clinic/Center
  • End-Stage Renal Disease (ESRD) Treatment

About INDEPENDENT DIALYSIS FOUNDATION, INC

This page provides the complete NPI Profile along with additional information for Independent Dialysis Foundation, Inc, a provider established in Baltimore, Maryland operating as a Clinic/center, focusing in end-stage renal disease (esrd) treatment . The healthcare provider is registered in the NPI registry with number 1487662243 assigned on August 2006. The practitioner's primary taxonomy code is 261QE0700X with license number E2582 (MD). The provider is registered as an organization and their NPI record was last updated 18 years ago. The authorized official of this NPI record is Zeke Ayele (Director Of Information Systems)

NPI
1487662243
Provider Name
INDEPENDENT DIALYSIS FOUNDATION, INC
Entity Type
Organization
Location Address
611 S CHARLES ST BALTIMORE, MD 21230
Location Phone
(410) 468-0900
Location Fax
(410) 468-0911
Mailing Address
840 HOLLINS ST BALTIMORE, MD 21201
Mailing Phone
(410) 468-0900
Mailing Fax
(410) 468-0911
Is Sole Proprietor?
No
Is Organization Subpart?
Yes
Enumeration Date
08-04-2006
Last Update Date
07-16-2007
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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
License No.
E2582
License State
MD

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

ZEKE AYELE

Authorized Official Title
DIRECTOR OF INFORMATION SYSTEMS
Authorized Official Phone
(410) 468-0900

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
21506OTHER (01)MDJAI MEDICAL
0005759000MEDICAID (05)WV 
576241-03OTHER (01)MDCAREFIRST
0125608OTHER (01)MDAETNA
215143OTHER (01)MDMDIPA
PS8OTHER (01)MDFEP
212582MEDICARE ID-TYPE UNSPECIFIED (04)MD 
0704865003OTHER (01)MDCIGNA
01689292MEDICAID (05)PA 

Reviews for INDEPENDENT DIALYSIS FOUNDATION, INC

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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.
1487662243
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
24167126428
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 4 + 1 + 6 + 7 + 1 + 2 + 6 + 4 + 2 + 8 + 24 = 67
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 67 = 33

The NPI number 1487662243 is valid because the calculated check digit 3 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 8 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1992714893 STEPAHNIE CHRISTINE BOUDREAU
Individual
Social Worker (Clinical)611 S CHARLES ST
BALTIMORE, MD 21230
(410) 328-2293
1215946041 RENEE LYNN WATTERS
Individual
Social Worker (Clinical)611 S CHARLES ST
BALTIMORE, MD 21230
(410) 328-2293
1275744351 CAROLE M BOOTH MD
Individual
Psychologist611 S CHARLES ST FOURTH FLOOR
BALTIMORE, MD 21230
(410) 328-2293
1841453339 KRISTAN HALAIKO
Individual
Social Worker611 S CHARLES ST FOURTH FLOOR
BALTIMORE, MD 21230
(410) 328-7584
1962659557 ELIZABETH CUSTODIO BOWERY
Individual
Student in an Organized Health Care Education/Training Program611 S CHARLES ST FOURTH FLOOR
BALTIMORE, MD 21230
(410) 328-2293
1871887679 CARRIE H ETHERIDGE LCSW-C
Individual
Social Worker (Clinical)611 S CHARLES ST
BALTIMORE, MD 21230
(410) 328-7584
1306130117UNIVERSITY OF MARYLAND MEDICAL CENTER
Organization
Social Worker (Clinical)611 S CHARLES ST SUITE 4
BALTIMORE, MD 21230
(410) 328-2292
1821348608 MELANIE L ERVIN RN
Individual
Registered Nurse (Psychiatric/Mental Health, Adult)611 S CHARLES ST CARRUTHERS CLINIC
BALTIMORE, MD 21230
(410) 328-2293

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1487662243, enumerated in the NPI registry as an "organization" on August 04, 2006

The provider is located at 611 S Charles St Baltimore, Md 21230 and the phone number is (410) 468-0900

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: Medicare, Medicaid, Aetna and Cigna. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

This NPI record was last updated on August 04, 2006. 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].
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