INDEPENDENT DIALYSIS FOUNDATION, INC
NPI 1669480422
Clinic/Center - End-Stage Renal Disease (ESRD) Treatment in Prince Frederick, MD


Overall Rating: 2 out of 5 stars

NPI Status: Active since August 04, 2006

Contact Information

225 W DARES BEACH RD
PRINCE FREDERICK, MD
ZIP 20678
Phone: (410) 468-0900
Fax: (410) 468-0911

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  • Organization
  • Clinic/Center
  • End-Stage Renal Disease (ESRD) Treatment
  • CLIA Number: 21D0724873
  • CLIA Cert. Type: End Stage Renal Disease Dialysis Facility
  • CLIA Exp. Date: 08-31-2026

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 Prince Frederick, 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 1669480422 assigned on August 2006. The practitioner's primary taxonomy code is 261QE0700X with license number E2549R (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
1669480422
Provider Name
INDEPENDENT DIALYSIS FOUNDATION, INC
Entity Type
Organization
Location Address
225 W DARES BEACH RD PRINCE FREDERICK, MD 20678
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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According to the Dialysis Facility Compare program data, Independent Dialysis Foundation, Inc has a below average overall quality rating based on the patient's quality of care based on data that dialysis centers report to Medicare. The Quality of Patient Star Rating for this facility is 2 out of 5 stars.

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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.
E2549R
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
PS6OTHER (01)MDFEP
212549MEDICARE ID-TYPE UNSPECIFIED (04)MD 
0005759000MEDICAID (05)WV 
590079-01OTHER (01)MDCAREFIRST
0125608OTHER (01)MDAETNA
21506OTHER (01)MDJAI MEDICAL
215143OTHER (01)MDMDIPA
0704865003OTHER (01)MDCIGNA
01689292MEDICAID (05)PA 

Dialysis Facility Compare Information

Quality of Patient Care Rating Quality of Patient Care Rating
The Medicare program calculates star ratings using specific measure data reported by dialysis centers to Medicare and data from the In-Center Hemodialysis CAHPS Survey.
- 2 out of 5 stars - A Below Average
Dialysis Facility TypeNon-profit
Is it part of a chain?Yes
Corporate NameIndependent Dialysis Foundation (IDF)
Shifts Starting After 5PM Shifts Starting After 5PM
If you can start your dialysis treatment at 5pm or later. These centers may also offer the ability for you to receive dialysis while you sleep.
No
In-Center Hemodialysis In-Center Hemodialysis
Hemodialysis is the most common method for treating advanced and permanent kidney failure. In hemodialysis, your blood flows slowly through a filter to remove wastes and extra fluids and the clean blood is returned to your body.
Yes
Number of Hemodialysis Stations Number of Hemodialysis Stations
The number of hemodialysis stations in the dialysis facility.
15
Peritoneal Dialysis Peritoneal Dialysis
Peritoneal dialysis is a treatment for kidney failure that uses the lining of your abdomen, or belly, to filter your blood inside your body. It uses a soft tube to fill your abdomen with a cleansing liquid that removes waste products from your body and the liquid is drained out of your body after a few hours.
Yes
Home Hemodialysis Training Home Hemodialysis Training
If the dialysis center offers training for patients and caregivers to learn to do hemodialysis treatments at home.
No
Certification or Recertification Date10-01-1992

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
21D0724873
Facility Type
End Stage Renal Disease Dialysis Facility
Certificate Effective Date
September 01, 2024
Certificate Expiration Date
August 31, 2026
Laboratory Director
JOHN J. SADLER
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Independent Dialysis Foundation, Inc 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.

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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.
1669480422
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2612988044
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 6 + 1 + 2 + 9 + 8 + 8 + 0 + 4 + 4 + 24 = 68
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 68 = 22

The NPI number 1669480422 is valid because the calculated check digit 2 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 2 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1467436022DR. CIARAN THERESE BROWNE MD
Individual
Internal Medicine (Nephrology)225 W DARES BEACH RD
PRINCE FREDERICK, MD 20678
(410) 414-2119
1649469784CIARAN T. BROWNE, MD LLC
Organization
Internal Medicine (Nephrology)225 W DARES BEACH RD
PRINCE FREDERICK, MD 20678
(410) 414-2119

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1669480422, enumerated in the NPI registry as an "organization" on August 04, 2006

The provider is located at 225 W Dares Beach Rd Prince Frederick, Md 20678 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.

The provider's CLIA number is 21D0724873 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..

The Overall Quality Rating of this dialysis facility is 2 out of 5 stars which is a below average when compared to similar facilities. The overall quality rating is calculated using specific measure data reported by dialysis centers to Medicare and data from the In-Center Hemodialysis CAHPS Survey.

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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