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FAIRMOUNT DIALYSIS
NPI 1134640949
Clinic/Center - End-Stage Renal Disease (ESRD) Treatment in Philadelphia, PA

Active since June 30, 2017CLIA 39D2138173 · Waiver
2/5
Overall Rating
1236 N 26TH ST, PHILADELPHIA, PA 19121(215) 763-3974(215) 765-1494 Get Directions Write a Review

NPPES record last updated: August 7, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Aug 7, 2020, Nov 15, 2018, Sep 26, 2018 and 1 more (4 updates tracked since 2017).

About Fairmount Dialysis NPPES

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

FAIRMOUNT DIALYSIS (NPI 1134640949) is a healthcare organization registered as an end-stage renal disease (esrd) treatment in Philadelphia, Pennsylvania and active in the NPI registry since June 2017. The organization holds a CLIA Waiver certificate valid through October 11, 2027 and lists John D Winstel, Chief Accounting Officer, as its authorized official.

NPPES Registry Identity

NPI1134640949
Entity TypeOrganization
Primary Taxonomy261QE0700X
Legal Business NameISD RENAL INC
Location Address1236 N 26TH STPhiladelphia, PA 19121-4602
Mailing Address5200 Virginia Way, L & C DeptBrentwood, TN 37027-7569 · (615) 341-6410 · Fax (888) 662-8259
Phone(215) 763-3974
Fax(215) 765-1494
Organization SubpartNo
Authorized OfficialJohn D WinstelChief Accounting Officer · (253) 733-4501
Enumeration DateJune 30, 2017
Last NPPES UpdateAugust 7, 20204 updates tracked since enumeration
NPPES CertifiedAugust 7, 2020
✔ NPI 1134640949 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
1236 N 26TH ST, Philadelphia, PA 19121
Open in Google Maps ↗

Other Names 1

Doing Business AsFairmount Dialysis

Other Identifiers 1

Medicaid102029010PA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter Health, Ambetter Health of Delaware and more.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 39D2138173

Fairmount Dialysis · Philadelphia, PA
Active · expires Oct 11, 2027
CLIA Number39D2138173
Laboratory TypeEnd Stage Renal Disease Dialysis Facility
Certificate Effective DateOctober 12, 2025
Certificate Expiration DateOctober 11, 2027
Laboratory DirectorDr. Pooneh Alborzi
Laboratory Phone(215) 763-3974
Laboratory LocationFairmount Dialysis1236 N 26th St, Philadelphia, PA 19121
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 Fairmount Dialysis (CMS certification number 392873), from CMS Care Compare.

DaVita Fairmount Dialysis

Dialysis facility · Philadelphia, PA
2/5 CMS RatingRating period January 2020 to December 2023
OwnershipProfit
ChainDaVita
CMS Certification Number392873
ESRD NetworkNetwork 4
Hemodialysis Stations17
Medicare-Certified SinceMay 4, 2018
Location1236 N. 26th StreetPhiladelphia, PA 19121 · Philadelphia County
Phone(215) 763-3972
Services Offered
In-center hemodialysis Peritoneal dialysis

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 Isd Renal Inc's NPI number?

The NPI number for Isd Renal Inc is 1134640949. It was assigned to this organization in the NPPES registry on June 30, 2017. The provider is doing business as Fairmount Dialysis.

Where is Isd Renal Inc located?

Isd Renal Inc is located at 1236 N 26th St, Philadelphia, PA 19121. The listed phone number is (215) 763-3974.

What is Isd Renal 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 Isd Renal Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 39D2138173) is associated with this NPI, valid through October 11, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

Is Isd Renal Inc a Medicare-certified dialysis facility?

Yes. DaVita Fairmount Dialysis is a Medicare-certified dialysis facility, certified since May 4, 2018.

What quality rating does Isd Renal Inc have?

CMS rates DaVita Fairmount Dialysis 2 out of 5 stars on Care Compare. The full measure detail is in the Dialysis Facility Quality section above.

What insurance does Isd Renal Inc accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Buckeye Health Plan, Oscar Health Insurance and Oscar Health Maintenance Organization of Florida and 5 other insurers list Isd Renal 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 Isd Renal Inc was last updated on August 7, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.