CSRA RENAL SERVICES, LLC
NPI 1295799641
Internal Medicine - Nephrology in Aiken, SC

Active since April 13, 2006CLIA Certified · 2 labs
755 MEDICAL PARK DR, AIKEN, SC 29801(803) 648-0718(803) 641-9143 Get Directions Write a Review

NPPES record last updated: November 16, 2016. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Csra Renal Services, Llc NPPES

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

CSRA RENAL SERVICES, LLC (NPI 1295799641) is a healthcare organization registered as a nephrology in Aiken, South Carolina and active in the NPI registry since April 2006. The organization holds 2 active CLIA laboratory certificates and lists Douglas A Stahura, President, as its authorized official.

NPPES Registry Identity

NPI1295799641
Entity TypeOrganization
Primary Taxonomy207RN0300X
Legal Business NameCSRA RENAL SERVICES, LLC
Location Address755 MEDICAL PARK DRAiken, SC 29801-6306
Mailing Address755 Medical Park DrAiken, SC 29801-6306 · (803) 648-0718 · Fax (803) 641-9143
Fax(803) 641-9143
Organization SubpartNo
Authorized OfficialDouglas A StahuraPresident · (803) 648-0718
Enumeration DateApril 13, 2006
Last NPPES UpdateNovember 16, 2016
✔ NPI 1295799641 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.
755 MEDICAL PARK DR, Aiken, SC 29801

Other Identifiers 5

Other7953457SC · Aetna Group Number
Medicare ID-Type Unspecified7503SC · Group Provider Number
Medicare ID-Type UnspecifiedCK6451SC · Railroad Carrier Group
MedicaidGP3601SC
MedicaidGP4396SC

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 MULTIPLE SINGLE SPECIALTY GROUP

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)

Csra Renal Services, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

4

Medicare enrollment records show 4 clinicians reassign Medicare billing to Csra Renal Services, LLC, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 3 within 10 miles. They are listed nearest first.

Clinicians, nearest first (4)

Nephrology
NPI 1770623894
755 MEDICAL PARK DR
Aiken, SC 29801
(803) 648-0718
✔ PECOS✔ Accepts MedicareSame address
Nephrology
NPI 1467416487
755 MEDICAL PARK DR
Aiken, SC 29801
(803) 648-0718
✔ PECOS✔ Accepts Medicare0.3 mi
Nurse Practitioner
NPI 1275382913
755 MEDICAL PARK DR
Aiken, SC 29801
(803) 648-0718
✔ PECOS✔ Accepts Medicare0.3 mi
Nurse Practitioner
NPI 1457965501
1053 CENTER STREET SC HOUSE CALLS INC
West Columbia, SC 29169
(800) 491-0909
✔ PECOS✔ Accepts Medicare49 mi

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

CLIA Laboratory Certificates CMS CLIA 2

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 42D0706168

Csra Renal Services, LLC · Aiken, SC
Active · expires Dec 11, 2027
CLIA Number42D0706168
Laboratory TypePhysician Office
Certificate Effective DateDecember 12, 2025
Certificate Expiration DateDecember 11, 2027
Laboratory DirectorDr. Douglas A. Stahura
Laboratory Phone(803) 648-0718
Laboratory LocationCsra Renal Services, LLC755 Medical Park Drive, Aiken, SC 29801
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 42D1050920

Csra Renal Services LLC · Barnwell, SC
Active · expires Dec 11, 2027
CLIA Number42D1050920
Laboratory TypePhysician Office
Certificate Effective DateDecember 12, 2025
Certificate Expiration DateDecember 11, 2027
Laboratory DirectorDouglas A. Stahura Do
Laboratory Phone(803) 648-0718
Laboratory LocationCsra Renal Services LLC10708 Marlboro Ave, Barnwell, SC 29812
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Csra Renal Services, LLC's NPI number?

The NPI number for Csra Renal Services, LLC is 1295799641. It was assigned to this organization in the NPPES registry on April 13, 2006.

Where is Csra Renal Services, LLC located?

Csra Renal Services, LLC is located at 755 Medical Park Dr, Aiken, SC 29801. The listed phone number is (803) 648-0718.

What is Csra Renal Services, LLC's specialty?

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

Is Csra Renal Services, LLC enrolled in Medicare?

Yes. Csra Renal Services, LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Csra Renal Services, LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 4 clinicians reassign their Medicare billing to Csra Renal Services, LLC, 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 and 3 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Csra Renal Services, LLC hold CLIA laboratory certificates?

Yes. 2 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

What insurance does Csra Renal Services, LLC accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of North Carolina, BlueCross BlueShield of South Carolina and Molina Healthcare list Csra Renal Services, LLC 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 Csra Renal Services, LLC was last updated on November 16, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.