PSKC - SOUTH
NPI 1093835811
Clinic/Center - End-Stage Renal Disease (ESRD) Treatment in Mountlake Terrace, WA
About Pskc - South NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
PSKC - SOUTH (NPI 1093835811) is a healthcare organization registered as an end-stage renal disease (esrd) treatment in Mountlake Terrace, Washington and active in the NPI registry since March 2007. The organization lists Harold S Kelly, President & Ceo, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Other Identifiers 2
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Pskc - South is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Pskc - South, which bills Medicare for the services this clinician delivers.
Clinician (1)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Dialysis Facility Quality Ratings CMS Care Compare
Quality ratings, services and patient survey results for Puget Sound Kc South (CMS certification number 502521), from CMS Care Compare.
Puget Sound Kc South
Dialysis facility · Mountlake Terrace, WAFrequently 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 Puget Sound Kidney Centers's NPI number?
The NPI number for Puget Sound Kidney Centers is 1093835811. It was assigned to this organization in the NPPES registry on March 29, 2007. The provider is doing business as Pskc - South.
Where is Puget Sound Kidney Centers located?
Puget Sound Kidney Centers is located at 21309 44th Ave W, Mountlake Terrace, WA 98043. The listed phone number is (425) 744-1095.
What is Puget Sound Kidney Centers's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in End-Stage Renal Disease (ESRD) Treatment, with taxonomy code 261QE0700X.
Is Puget Sound Kidney Centers enrolled in Medicare?
Yes. Puget Sound Kidney Centers is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Puget Sound Kidney Centers?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Registered Dietitian or Nutrition Professional) reassigns their Medicare billing to Puget Sound Kidney Centers. 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Is Puget Sound Kidney Centers a Medicare-certified dialysis facility?
Yes. Puget Sound Kc South is a Medicare-certified dialysis facility, certified since August 6, 1997.
What quality rating does Puget Sound Kidney Centers have?
CMS rates Puget Sound Kc South 5 out of 5 stars on Care Compare. The full measure detail is in the Dialysis Facility Quality section above.
What insurance does Puget Sound Kidney Centers accept?
Health plans from Premera Blue Cross Blue Shield of Alaska and Providence Health Plan list Puget Sound Kidney Centers as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Puget Sound Kidney Centers was last updated on February 5, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.
# Pskc - South · NPI 1093835811
End-Stage Renal Disease (ESRD) Treatment organization in Mountlake Terrace, Washington. Organization record, active in the CMS NPPES registry since March 29, 2007.
## Identity
- **NPI:** 1093835811 (Entity type: Organization)
- **Enumerated:** March 29, 2007
- **Primary specialty:** Clinic/Center - End-Stage Renal Disease (ESRD) Treatment · taxonomy 261QE0700X
- **Legal business name:** Puget Sound Kidney Centers
- **Organization subpart:** No
- **Authorized official:** Harold Kelly, PRESIDENT & CEO
## Practice location
- **Address:** 21309 44TH AVE W, Mountlake Terrace, WA 98043-3507
- **Phone:** (425) 744-1095 · **Fax:** (425) 775-1144
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Registered Dietitian or Nutrition Professional) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** February 5, 2008
- **Other identifiers:** Medicaid 3144805 (WA); Medicare ID-Type Unspecified 50-2521 (WA)
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Source: [NPI Profile](https://npiprofile.com/npi/1093835811) · Data from the CMS NPPES public registry.