1. Home
  2. Directory
  3. Maryland
  4. Upper Marlboro
  5. Clinic Center
  6. NPI Profile

KIDNEY CARE OF LARGO
NPI 1104886993
Clinic/Center - End-Stage Renal Disease (ESRD) Treatment in Upper Marlboro, MD

Active since March 24, 2006CLIA 21D1020736 · Waiver
3/5
Overall Rating
1300 MERCANTILE LN, STE 194, UPPER MARLBORO, MD 20774(301) 925-4100(301) 925-4810 Get Directions Write a Review

NPPES record last updated: August 29, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 25, 2024, Aug 16, 2023, Apr 15, 2020 and 3 more (6 updates tracked since 2017).

About Kidney Care Of Largo NPPES

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

KIDNEY CARE OF LARGO (NPI 1104886993) is a healthcare organization registered as an end-stage renal disease (esrd) treatment in Upper Marlboro, Maryland and active in the NPI registry since March 2006. The organization holds a CLIA Waiver certificate valid through December 30, 2027 and lists Samuel T Wey, Vp Licensure & Certification, as its authorized official.

NPPES Registry Identity

NPI1104886993
Entity TypeOrganization
Primary Taxonomy261QE0700X
Legal Business NameRENAL TREATMENT CENTERS - MID-ATLANTIC, INC.
Location Address1300 MERCANTILE LN, STE 194Upper Marlboro, MD 20774-5339
Mailing Address5200 Virginia Way, L&c DeptBrentwood, TN 37027-7569
Phone(301) 925-4100
Fax(301) 925-4810
Organization SubpartNo
Authorized OfficialSamuel T WeyVp Licensure & Certification · (615) 341-6641
Enumeration DateMarch 24, 2006
Last NPPES UpdateAugust 29, 20246 updates tracked since enumeration
NPPES CertifiedAugust 29, 2024
✔ NPI 1104886993 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · End-Stage Renal Disease (ESRD) TreatmentAmbulatory Health Care Facilities
Taxonomy Code261QE0700X
License✔ Licensed in MD · E2530
1300 MERCANTILE LN, Upper Marlboro, MD 20774
Open in Google Maps ↗

Other Names 1

Doing Business AsKidney Care Of Largo

Other Identifiers 1

Medicaid405358300MD

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include UnitedHealthcare.Insurance ›

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 of Waiver 21D1020736

Kidney Care Of Largo · Upper Marlboro, MD
Active · expires Dec 30, 2027
CLIA Number21D1020736
Laboratory TypeEnd Stage Renal Disease Dialysis Facility
Certificate Effective DateDecember 31, 2025
Certificate Expiration DateDecember 30, 2027
Laboratory DirectorPromod Duggal
Laboratory Phone(301) 925-4100
Laboratory LocationKidney Care Of Largo1300 Mercantile Lane Suite 194, Upper Marlboro, MD 20774
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Dialysis Facility Quality Ratings CMS Care Compare

Quality ratings, services and patient survey results for DaVita Kidney Care of Largo (CMS certification number 212530), from CMS Care Compare.

DaVita Kidney Care of Largo

Dialysis facility · Upper Marlboro, MD
3/5 CMS RatingRating period January 2020 to December 2023
OwnershipProfit
ChainDaVita
CMS Certification Number212530
ESRD NetworkNetwork 5
Hemodialysis Stations29
Medicare-Certified SinceJuly 1, 1987
Location1300 MERCANTILE LN STE 194Upper Marlboro, MD 20774 · Prince Georges County
Phone(301) 925-4100
Services Offered
In-center hemodialysis Evening shifts (after 5 PM)

Patient Survey Results

Nephrologists’ communication and caring
Patients who reported their kidney doctors always communicated well and cared for them as a person.
70% 5/5
Dialysis center care and operations
Patients who reported center staff always communicated well, kept them as comfortable as possible, behaved professionally and kept the center clean.
45% 1/5
Providing information to patients
Patients who reported their kidney doctors and center staff gave them the information they needed to care for their health.
75% 2/5
Rating of the kidney doctors
Patients who rated their kidney doctors 9 or 10 on a scale of 0 (worst) to 10 (best).
59% 3/5
Rating of the dialysis center staff
Patients who rated the center staff 9 or 10 on a scale of 0 (worst) to 10 (best).
45% 1/5
Rating of the dialysis center
Patients who rated the dialysis center 9 or 10 on a scale of 0 (worst) to 10 (best).
34% 1/5
Percentages are patients giving the best possible responses in the In-Center Hemodialysis (ICH CAHPS) patient survey. Star ratings are assigned by CMS on a one-to-five star scale; five is the highest.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

LAJOY ROBIN PRESTON LCPC
Counselor (Professional)
1300 MERCANTILE LN, 141-D
LARGO, MD 20774
Prince George's County (240) 242-9044
MRS. PEGGY D MACLIN LCPC, NCC
Counselor (Professional)
1300 MERCANTILE LN
LARGO, MD 20774
Prince George's County (301) 583-0001
PASSION HEALTHCARE SERVICES LLC
Home Health
1300 MERCANTILE LN, SUITE 138E
LARGO, MD 20774
Prince George's County (301) 856-4411
BROWN'SCOUNSELING & THERAPEUTIC SERVICES, LLC
Counselor (Mental Health)
1300 MERCANTILE LN, SUITE 141-D
LARGO, MD 20774
Prince George's County (443) 635-1568
MS. WANDA R SCOTT LCSW-C
Social Worker (Clinical)
1300 MERCANTILE LN, SUITE 139-RR
LARGO, MD 20774
Prince George's County (301) 772-5300
SAFE HARBOR CHRISTIAN COUNSELING
Counselor (Professional)
1300 MERCANTILE LN
LARGO, MD 20774
Prince George's County (410) 893-4600
TYKERA TOLSON LMSW
Social Worker (Clinical)
1300 MERCANTILE LN
LARGO, MD 20774
Prince George's County (301) 583-0001
MARCOS S FALTAMO CRNA
Nurse Anesthetist, Certified Registered
1300 MERCANTILE LN
LARGO, MD 20774
Prince George's County (301) 317-0020

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 Renal Treatment Centers - Mid-Atlantic, Inc.'s NPI number?

The NPI number for Renal Treatment Centers - Mid-Atlantic, Inc. is 1104886993. It was assigned to this organization in the NPPES registry on March 24, 2006. The provider is doing business as Kidney Care Of Largo.

Where is Renal Treatment Centers - Mid-Atlantic, Inc. located?

Renal Treatment Centers - Mid-Atlantic, Inc. is located at 1300 Mercantile Ln Ste 194, Upper Marlboro, MD 20774. The listed phone number is (301) 925-4100.

What is Renal Treatment Centers - Mid-Atlantic, Inc.'s specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in End-Stage Renal Disease (ESRD) Treatment, with taxonomy code 261QE0700X.

Does Renal Treatment Centers - Mid-Atlantic, Inc. hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 21D1020736) is associated with this NPI, valid through December 30, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

Is Renal Treatment Centers - Mid-Atlantic, Inc. a Medicare-certified dialysis facility?

Yes. DaVita Kidney Care of Largo is a Medicare-certified dialysis facility, certified since July 1, 1987.

What quality rating does Renal Treatment Centers - Mid-Atlantic, Inc. have?

CMS rates DaVita Kidney Care of Largo 3 out of 5 stars on Care Compare. The full measure detail is in the Dialysis Facility Quality section above.

What insurance does Renal Treatment Centers - Mid-Atlantic, Inc. accept?

Health plans from UnitedHealthcare list Renal Treatment Centers - Mid-Atlantic, Inc. 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 Renal Treatment Centers - Mid-Atlantic, Inc. was last updated on August 29, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 months 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.