PSA PEDIATRIC NEPHROLOGY
NPI 1124488127
Internal Medicine - Nephrology in Naples, FL

Q: What is Psa Pediatric Nephrology's NPI number?

The NPI number for Psa Pediatric Nephrology is 1124488127. It was assigned to this organization in the NPPES registry on March 3, 2016.

Q: What is Psa Pediatric Nephrology's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Nephrology, with taxonomy code 207RN0300X.

Active since March 03, 2016CLIA 10D2142402 · Waiver

1665 MEDICAL BLVD, NAPLES, FL 34110(305) 662-8352(305) 669-6545 Get Directions Write a Review

NPPES record last updated: March 3, 2016. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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About Psa Pediatric Nephrology NPPES

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

PSA PEDIATRIC NEPHROLOGY (NPI 1124488127) is a healthcare organization registered as a nephrology in Naples, Florida and active in the NPI registry since March 2016. The organization holds a CLIA Waiver certificate valid through January 9, 2028 and lists Timothy Birkenstock, Svp & Cfo For Mchs, as its authorized official.

NPPES Registry Identity

NPI1124488127

Entity TypeOrganization

Primary Taxonomy207RN0300X

Legal Business NamePSA PEDIATRIC NEPHROLOGY

Location Address1665 MEDICAL BLVDNaples, FL 34110-1402

Mailing Address3100 Sw 62nd AveMiami, FL 33155-3009 · (305) 662-8352 · Fax (305) 669-6545

Phone(305) 662-8352

Fax(305) 669-6545

Organization SubpartYesParent: Pediatric Specialty Group, Inc.

Authorized OfficialTimothy BirkenstockSvp & Cfo For Mchs · (305) 669-6422

Enumeration DateMarch 3, 2016

✔ NPI 1124488127 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · NephrologyAllopathic & Osteopathic Physicians

Taxonomy Code207RN0300X

Definition

An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.

1665 MEDICAL BLVD, Naples, FL 34110

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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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 10D2142402

Psa Pediatric Nephrology · Miami, FL

Active · expires Jan 9, 2028

CLIA Number10D2142402

Laboratory TypePhysician Office

Certificate Effective DateJanuary 10, 2026

Certificate Expiration DateJanuary 9, 2028

Laboratory DirectorFelix Ramirez-Seijas

Laboratory Phone(786) 624-1139

Laboratory LocationPsa Pediatric Nephrology3100 SW 62 Avenue, Miami, FL 33155

CLIA data matches this NPI record on: Name

This certificate is issued to a laboratory to perform only waived tests.

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Other Providers at the Same Location NPPES 16

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

MRS. STEPHANIE POTTS BRAUN R.N.

Case Manager/Care Coordinator