ROCKY MOUNTAIN KIDNEY CARE PC
NPI 1316761943
Internal Medicine - Nephrology in San Mateo, CA

Active since November 11, 2024
2000 S EL CAMINO REAL FL 1, SAN MATEO, CA 94403(888) 288-5977(833) 428-7023 Get Directions Write a Review

NPPES record last updated: July 27, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jul 27, 2026, Nov 11, 2024 (2 updates tracked since 2024).

About Rocky Mountain Kidney Care Pc NPPES

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

ROCKY MOUNTAIN KIDNEY CARE PC (NPI 1316761943) is a healthcare organization registered as a nephrology in San Mateo, California and active in the NPI registry since November 2024. The organization lists Mary Dittrich, Owner, as its authorized official.

NPPES Registry Identity

NPI1316761943
Entity TypeOrganization
Primary Taxonomy207RN0300X
Legal Business NameROCKY MOUNTAIN KIDNEY CARE PC
Location Address2000 S EL CAMINO REAL FL 1San Mateo, CA 94403-1805
Mailing Address5851 Legacy Cir Ste 900Plano, TX 75024-5982 · (469) 590-5955 · Fax (469) 833-4858
Fax(833) 428-7023
Organization SubpartNo
Authorized OfficialMary DittrichOwner · (469) 590-5955
Enumeration DateNovember 11, 2024
Last NPPES UpdateJuly 27, 20262 updates tracked since enumeration
NPPES CertifiedJuly 27, 2026
✔ NPI 1316761943 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.
2000 S EL CAMINO REAL FL 1, San Mateo, CA 94403

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Rocky Mountain Kidney Care Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

6

Medicare enrollment records show 6 clinicians reassign Medicare billing to Rocky Mountain Kidney Care PC, which bills Medicare for the services they deliver. They are listed nearest first.

Clinicians, nearest first (6)

Nurse Practitioner
NPI 1023424348
5789 STATE FARM DR STE 110
Rohnert Park, CA 94928
(707) 615-3347
✔ PECOS✔ Accepts Medicare60 mi
Nurse Practitioner
NPI 1255945200
12032 CHAMPLAIN ST
Moreno Valley, CA 92557
(951) 203-7865
✔ PECOS✔ Accepts Medicare379 mi
Nurse Practitioner
NPI 1790733624
9777 S YOSEMITE ST STE 110
Lone Tree, CO 80124
(907) 375-5200
✔ PECOS✔ Accepts Medicare952 mi
Nephrology
NPI 1255313441
9777 S YOSEMITE ST STE 110
Lone Tree, CO 80124
(720) 696-0852
✔ PECOS✔ Accepts Medicare952 mi
Nurse Practitioner
NPI 1669946463
1125 N TOPEKA ST
Wichita, KS 67214
(316) 867-6443
✔ PECOS✔ Accepts Medicare1,366 mi
Nurse Practitioner
NPI 1457977548
98-1079 MOANALUA RD STE 500
Aiea, HI 96701
(808) 488-0990
✔ PECOS✔ Accepts Medicare2,399 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 Rocky Mountain Kidney Care PC's NPI number?

The NPI number for Rocky Mountain Kidney Care PC is 1316761943. It was assigned to this organization in the NPPES registry on November 11, 2024.

Where is Rocky Mountain Kidney Care PC located?

Rocky Mountain Kidney Care PC is located at 2000 S El Camino Real Fl 1, San Mateo, CA 94403. The listed phone number is (888) 288-5977.

What is Rocky Mountain Kidney Care PC's specialty?

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

Is Rocky Mountain Kidney Care PC enrolled in Medicare?

Yes. Rocky Mountain Kidney Care PC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Rocky Mountain Kidney Care PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 6 clinicians in 2 Medicare specialties reassign their Medicare billing to Rocky Mountain Kidney Care PC. 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. The largest specialties are Nurse Practitioner (5) and Nephrology (1). Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Rocky Mountain Kidney Care PC was last updated on July 27, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.