PINEVIEW DIALYSIS CLINIC LLC
NPI 1396418364
Clinic/Center - End-Stage Renal Disease (ESRD) Treatment in Clinton, MD

Q: What is Pineview Dialysis Clinic LLC's NPI number?

The NPI number for Pineview Dialysis Clinic LLC is 1396418364. It was assigned to this organization in the NPPES registry on July 27, 2021.

Q: What is Pineview Dialysis Clinic LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in End-Stage Renal Disease (ESRD) Treatment, with taxonomy code 261QE0700X.

Active since July 27, 2021CLIA 21D2254752 · Waiver

9106 PINE VIEW LN, CLINTON, MD 20735(301) 856-2930 Get Directions Write a Review

NPPES record last updated: July 27, 2021. Verified against the NPPES registry weekly; last sync: November 01, 2026.

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About Pineview Dialysis Clinic Llc NPPES

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

PINEVIEW DIALYSIS CLINIC LLC (NPI 1396418364) is a healthcare organization registered as an end-stage renal disease (esrd) treatment in Clinton, Maryland and active in the NPI registry since July 2021. The organization holds a CLIA Waiver certificate valid through March 6, 2028 and lists Brian Flinglass, Vp Finance, as its authorized official.

NPPES Registry Identity

NPI1396418364

Entity TypeOrganization

Primary Taxonomy261QE0700X

Legal Business NamePINEVIEW DIALYSIS CLINIC LLC

Location Address9106 PINE VIEW LNClinton, MD 20735-3229

Mailing Address8028 Ritchie Hwy Ste 210Pasadena, MD 21122-1075 · (410) 766-1995

Phone(301) 856-2930

Organization SubpartNo

Authorized OfficialBrian FlinglassVp Finance · (410) 766-1995

Enumeration DateJuly 27, 2021

NPPES CertifiedJuly 27, 2021

✔ NPI 1396418364 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

9106 PINE VIEW LN, Clinton, MD 20735

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Medicare Participation & PECOS CMS

Medicare enrollment and revalidation status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Pineview Dialysis Clinic Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by January 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

StateMarylandEnrollment IDO20210913002398Part A · End-Stage Renal Disease Facility (ESRD)Due dateJanuary 31, 2027

Source: CMS Revalidation Due Date List, October 2026 release.

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 21D2254752

Pineview Dialysis Clinic, LLC Dba Renalis · Clinton, MD

Active · expires Mar 6, 2028

CLIA Number21D2254752

Laboratory TypeEnd Stage Renal Disease Dialysis Facility

Certificate Effective DateMarch 7, 2026

Certificate Expiration DateMarch 6, 2028

Laboratory DirectorElwin G. Bustos

Laboratory Phone(301) 877-1536

Laboratory LocationPineview Dialysis Clinic, LLC Dba Renalis9106 Pineview Lane, Clinton, MD 20735

CLIA data matches this NPI record on: Name

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

Other Providers at the Same Location NPPES 15

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

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