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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 30 days.

ISD RENAL INC
NPI 1417566621
Clinic/Center - End-Stage Renal Disease (ESRD) Treatment in Philadelphia, PA

Active since July 24, 2020CLIA 39D2106377 · Waiver
4800 BROWN ST, STE 201, PHILADELPHIA, PA 19139(215) 581-4993(215) 883-1573 Get Directions Write a Review

NPPES record last updated: July 10, 2026. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Jul 10, 2026, Jul 25, 2024, Sep 8, 2023 and 2 more (5 updates tracked since 2020).

About Isd Renal Inc NPPES

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

ISD RENAL INC (NPI 1417566621), doing business as Brown Street Dialysis, is a healthcare organization registered as an end-stage renal disease (esrd) treatment in Philadelphia, Pennsylvania and active in the NPI registry since July 2020. The organization holds a CLIA Waiver certificate valid through December 16, 2027 and lists Samuel T Wey, Vp, Licensure & Certification, as its authorized official.

NPPES Registry Identity

NPI1417566621
Entity TypeOrganization
Primary Taxonomy261QE0700X
Legal Business NameISD RENAL INC
Location Address4800 BROWN ST, STE 201Philadelphia, PA 19139-2105
Mailing Address5200 Virginia Way, L&c DeptBrentwood, TN 37027-7569
Phone(215) 581-4993
Fax(215) 883-1573
Organization SubpartNo
Authorized OfficialSamuel T WeyVp, Licensure & Certification · (615) 341-6641
Enumeration DateJuly 24, 2020
Last NPPES UpdateJuly 10, 20265 updates tracked since enumeration
NPPES CertifiedJuly 10, 2026
✔ NPI 1417566621 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
4800 BROWN ST, Philadelphia, PA 19139
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Other Names 1

Doing Business AsBrown Street 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 39D2106377

Brown Street Dialysis · Philadelphia, PA
Active · expires Dec 16, 2027
CLIA Number39D2106377
Laboratory TypeEnd Stage Renal Disease Dialysis Facility
Certificate Effective DateDecember 17, 2025
Certificate Expiration DateDecember 16, 2027
Laboratory DirectorDr. Marie B. Lim
Laboratory Phone(215) 581-4993
Laboratory LocationBrown Street Dialysis4800 Brown Street, Suite 201, Philadelphia, PA 19139
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Frequently Asked Questions

What is ISD RENAL INC's NPI number?

The NPI number assigned to this healthcare provider is 1417566621, enumerated as an "organization" on July 24, 2020.

Where is the provider located?

The provider is located at 4800 BROWN ST STE 201 PHILADELPHIA, PA 19139 and the phone number is (215) 581-4993.

What is the provider's specialty?

Clinic/Center with taxonomy code 261QE0700X and a focus in End-Stage Renal Disease (ESRD) Treatment.

What insurance does ISD RENAL INC accept?

The provider might be accepting Accepts: Ambetter from Buckeye Health Plan, Ambetter. Please consult your insurance carrier or call the provider to verify.