FREDERICK KIDNEY CARE ASSOCIATES LLC.
NPI 1033305263
Clinic/Center - Medical Specialty in Frederick, MD

Active since September 21, 2007CLIA 21D1082276 · Microscopy
5205 CHAIRMANS CT, SUITE 100, FREDERICK, MD 21703(301) 696-0012 Get Directions Write a Review

NPPES record last updated: June 13, 2016. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Frederick Kidney Care Associates Llc. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

FREDERICK KIDNEY CARE ASSOCIATES LLC. (NPI 1033305263) is a healthcare organization registered as a medical specialty in Frederick, Maryland and active in the NPI registry since September 2007. The organization holds a CLIA Microscopy certificate valid through April 3, 2028 and lists Rohan R Rengen, Partner, as its authorized official.

NPPES Registry Identity

NPI1033305263
Entity TypeOrganization
Primary Taxonomy261QM2500X
Legal Business NameFREDERICK KIDNEY CARE ASSOCIATES LLC.
Location Address5205 CHAIRMANS CT, SUITE 100Frederick, MD 21703-2915
Mailing Address5205 Chairmans Ct, Suite 100Frederick, MD 21703-2915 · (301) 696-0012
Organization SubpartNo
Authorized OfficialRohan R RengenPartner · (301) 696-0012
Enumeration DateSeptember 21, 2007
Last NPPES UpdateJune 13, 2016
✔ NPI 1033305263 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Medical SpecialtyAmbulatory Health Care Facilities
Taxonomy Code261QM2500X
License✔ Licensed in MD · W12133963
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer).
5205 CHAIRMANS CT, Frederick, MD 21703

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Frederick Kidney Care Associates Llc. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

4

Medicare enrollment records show 4 clinicians reassign Medicare billing to Frederick Kidney Care Associates LLC., which bills Medicare for the services they deliver. Of these, 3 practice at this address and 4 within 10 miles. They are listed nearest first.

Clinicians, nearest first (4)

Nephrology
NPI 1659369684
5205 CHAIRMANS CT SUITE 100
Frederick, MD 21703
(301) 696-0012
✔ PECOS✔ Accepts MedicareSame address
Nephrology
NPI 1609067792
5205 CHAIRMANS CT SUITE 100
Frederick, MD 21703
(301) 696-0012
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1750103669
5205 CHAIRMANS CT STE 100
Frederick, MD 21703
(301) 696-0012
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1801269758
300 BALLENGER CENTER DR
Frederick, MD 21703
(866) 389-2727
✔ PECOS✔ Accepts Medicare1.7 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate for Provider-Performed Microscopy Procedures (PPMP) 21D1082276

Frederick Kidney Care Associates · Frederick, MD
Active · expires Apr 3, 2028
CLIA Number21D1082276
Laboratory TypePhysician Office
Certificate Effective DateApril 4, 2026
Certificate Expiration DateApril 3, 2028
Laboratory DirectorRohan Rengen Do
Laboratory Phone(301) 696-0012
Laboratory LocationFrederick Kidney Care Associates5205 Chairmans Court Suite 100, Frederick, MD 21703
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Frederick Kidney Care Associates LLC.'s NPI number?

The NPI number for Frederick Kidney Care Associates LLC. is 1033305263. It was assigned to this organization in the NPPES registry on September 21, 2007.

Where is Frederick Kidney Care Associates LLC. located?

Frederick Kidney Care Associates LLC. is located at 5205 Chairmans Ct Suite 100, Frederick, MD 21703. The listed phone number is (301) 696-0012.

What is Frederick Kidney Care Associates LLC.'s specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Medical Specialty, with taxonomy code 261QM2500X.

Is Frederick Kidney Care Associates LLC. enrolled in Medicare?

Yes. Frederick Kidney Care Associates LLC. is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Frederick Kidney Care Associates LLC.?

According to the CMS Revalidation Reassignment List (October 2026 release), 4 clinicians reassign their Medicare billing to Frederick Kidney Care Associates LLC., in Nephrology and Nurse Practitioner. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 3 practice at this address and 4 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Frederick Kidney Care Associates LLC. hold a CLIA laboratory certificate?

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 21D1082276) is associated with this NPI, valid through April 3, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Frederick Kidney Care Associates LLC. was last updated on June 13, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.