KIDNEY DISEASE CONSULTING GROUP
NPI 1447138227
Clinic/Center in Glendale, CA

Active since August 21, 2025
1505 WILSON TER, GLENDALE, CA 91206(818) 590-5940 Get Directions Write a Review

NPPES record last updated: August 21, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Kidney Disease Consulting Group NPPES

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

KIDNEY DISEASE CONSULTING GROUP (NPI 1447138227) is a healthcare organization registered as a clinic/center in Glendale, California and active in the NPI registry since August 2025. The organization lists Ivet Sarkissian Pekacheki, Owner, as its authorized official.

NPPES Registry Identity

NPI1447138227
Entity TypeOrganization
Primary Taxonomy261Q00000X
Legal Business NameKIDNEY DISEASE CONSULTING GROUP
Location Address1505 WILSON TERGlendale, CA 91206-4071
Mailing Address501 W Glenoaks Blvd # 809Glendale, CA 91202-2896
Organization SubpartNo
Authorized OfficialIvet Sarkissian PekachekiOwner · (818) 590-5940
Enumeration DateAugust 21, 2025
NPPES CertifiedAugust 21, 2025
✔ NPI 1447138227 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/CenterAmbulatory Health Care Facilities
Taxonomy Code261Q00000X
Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
1505 WILSON TER, Glendale, CA 91206

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kidney Disease Consulting Group is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Kidney Disease Consulting Group, which bills Medicare for the services this clinician delivers.

Clinician (1)

Registered Dietitian or Nutrition Professional
NPI 1124117643
1505 WILSON TER # 155
Glendale, CA 91206
(818) 500-4055
✔ Accepts Medicare0.1 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 Kidney Disease Consulting Group's NPI number?

The NPI number for Kidney Disease Consulting Group is 1447138227. It was assigned to this organization in the NPPES registry on August 21, 2025.

Where is Kidney Disease Consulting Group located?

Kidney Disease Consulting Group is located at 1505 Wilson Ter, Glendale, CA 91206. The listed phone number is (818) 590-5940.

What is Kidney Disease Consulting Group's specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

Is Kidney Disease Consulting Group enrolled in Medicare?

Yes. Kidney Disease Consulting Group is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Kidney Disease Consulting Group?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Registered Dietitian or Nutrition Professional) reassigns their Medicare billing to Kidney Disease Consulting Group. 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Kidney Disease Consulting Group was last updated on August 21, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.