ISD RENAL INC
NPI 1417566621
Clinic/Center - End-Stage Renal Disease (ESRD) Treatment in Philadelphia, PA
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
Specialties & Licenses
Other Names 1
Other Identifiers 1
Accepted 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, PAFrequently 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 Isd Renal Inc's NPI number?
The NPI number for Isd Renal Inc is 1417566621. It was assigned to this organization in the NPPES registry on July 24, 2020. The provider is doing business as Brown Street Dialysis.
Where is Isd Renal Inc located?
Isd Renal Inc is located at 4800 Brown St Ste 201, Philadelphia, PA 19139. The listed phone number is (215) 581-4993.
What is Isd Renal Inc's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in End-Stage Renal Disease (ESRD) Treatment, with taxonomy code 261QE0700X.
Does Isd Renal Inc hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 39D2106377) is associated with this NPI, valid through December 16, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
What insurance does Isd Renal Inc accept?
Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Buckeye Health Plan, Oscar Health Insurance and Oscar Health Maintenance Organization of Florida and 5 other insurers list Isd Renal Inc 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 Isd Renal Inc was last updated on July 10, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 44 days 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.
# Isd Renal Inc · NPI 1417566621
End-Stage Renal Disease (ESRD) Treatment organization in Philadelphia, Pennsylvania. Organization record, active in the CMS NPPES registry since July 24, 2020.
## Identity
- **NPI:** 1417566621 (Entity type: Organization)
- **Enumerated:** July 24, 2020
- **Primary specialty:** Clinic/Center - End-Stage Renal Disease (ESRD) Treatment · taxonomy 261QE0700X
- **Also known as:** Brown Street Dialysis (Doing Business As)
- **Organization subpart:** No
- **Authorized official:** Samuel Wey, VP, LICENSURE & CERTIFICATION
## Practice location
- **Address:** 4800 BROWN ST, STE 201, Philadelphia, PA 19139-2105
- **Phone:** (215) 581-4993 · **Fax:** (215) 883-1573
## Record status
- **NPPES last updated:** July 10, 2026
- **Other identifiers:** Medicaid 102029010 (PA)
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1417566621) · Data from the CMS NPPES public registry.