RENAL CARE CONSULTANTS PL
NPI 1174779870
Internal Medicine - Nephrology in Port Orange, FL

Active since August 13, 2008
4641 S CLYDE MORRIS BLVD, 201, PORT ORANGE, FL 32129(386) 322-6340(386) 322-6212 Get Directions Write a Review

NPPES record last updated: January 14, 2010. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Renal Care Consultants Pl NPPES

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

RENAL CARE CONSULTANTS PL (NPI 1174779870) is a healthcare organization registered as a nephrology in Port Orange, Florida and active in the NPI registry since August 2008. The organization lists Sajid Latif, Owner, as its authorized official.

NPPES Registry Identity

NPI1174779870
Entity TypeOrganization
Primary Taxonomy207RN0300X
Legal Business NameRENAL CARE CONSULTANTS PL
Location Address4641 S CLYDE MORRIS BLVD, 201Port Orange, FL 32129-6003
Mailing Address4641 S Clyde Morris Blvd, 201Port Orange, FL 32129-6003 · (386) 322-6340 · Fax (386) 322-6212
Fax(386) 322-6212
Organization SubpartNo
Authorized OfficialSajid LatifOwner · (386) 322-6340
Enumeration DateAugust 13, 2008
Last NPPES UpdateJanuary 14, 2010
✔ NPI 1174779870 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · NephrologyAllopathic & Osteopathic Physicians
Taxonomy Code207RN0300X
License✔ Licensed in FL · 70777
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.
4641 S CLYDE MORRIS BLVD, Port Orange, FL 32129

Other Identifiers 2

Medicare UPING35260FL
Medicare PINAN904FL

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

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Renal Care Consultants Pl is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by March 31, 2027

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StateFloridaEnrollment IDO20081007000281Non-DME Part B · Clinic/Group PracticeDue dateMarch 31, 2027
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Renal Care Consultants Pl, which bills Medicare for the services they deliver. Of these, 1 practice at this address. They are listed nearest first.

Clinicians, nearest first (2)

Nephrology
NPI 1265429823
4641 S CLYDE MORRIS BLVD UNIT 201
Port Orange, FL 32129
(386) 322-6340
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1982147963
3901 UNIVERSITY BLVD S SUITE 221
Jacksonville, FL 32216
(904) 423-0010
✔ PECOS✔ Accepts Medicare87 mi

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

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 Care Consultants Pl's NPI number?

The NPI number for Renal Care Consultants Pl is 1174779870. It was assigned to this organization in the NPPES registry on August 13, 2008.

Where is Renal Care Consultants Pl located?

Renal Care Consultants Pl is located at 4641 S Clyde Morris Blvd 201, Port Orange, FL 32129. The listed phone number is (386) 322-6340.

What is Renal Care Consultants Pl's specialty?

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

Is Renal Care Consultants Pl enrolled in Medicare?

Yes. Renal Care Consultants Pl is registered in the Medicare PECOS enrollment system.

When is Renal Care Consultants Pl's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Florida, Clinic/Group Practice) is due for revalidation by March 31, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

How many clinicians bill Medicare through Renal Care Consultants Pl?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians reassign their Medicare billing to Renal Care Consultants Pl, 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, 1 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Renal Care Consultants Pl was last updated on January 14, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.