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INDEPENDENT DIALYSIS FOUNDATION, INC
NPI 1487662243
Clinic/Center - End-Stage Renal Disease (ESRD) Treatment in Baltimore, MD

Active since August 04, 2006
611 S CHARLES ST, BALTIMORE, MD 21230(410) 468-0900(410) 468-0911 Get Directions Write a Review

NPPES record last updated: July 16, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Independent Dialysis Foundation, Inc NPPES

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

INDEPENDENT DIALYSIS FOUNDATION, INC (NPI 1487662243) is a healthcare organization registered as an end-stage renal disease (esrd) treatment in Baltimore, Maryland and active in the NPI registry since August 2006. The organization lists Zeke Ayele, Director Of Information Systems, as its authorized official.

NPPES Registry Identity

NPI1487662243
Entity TypeOrganization
Primary Taxonomy261QE0700X
Legal Business NameINDEPENDENT DIALYSIS FOUNDATION, INC
Location Address611 S CHARLES STBaltimore, MD 21230-3801
Mailing Address840 Hollins StBaltimore, MD 21201-1024 · (410) 468-0900 · Fax (410) 468-0911
Phone(410) 468-0900
Fax(410) 468-0911
Organization SubpartYes
Authorized OfficialZeke AyeleDirector Of Information Systems · (410) 468-0900
Enumeration DateAugust 4, 2006
Last NPPES UpdateJuly 16, 2007
✔ NPI 1487662243 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
License✔ Licensed in MD · E2582
611 S CHARLES ST, Baltimore, MD 21230
Open in Google Maps ↗

Other Identifiers 9

Other21506MD · Jai Medical
Medicaid0005759000WV
Other576241-03MD · Carefirst
Other0125608MD · Aetna
Other215143MD · Mdipa
OtherPS8MD · Fep
Medicare ID-Type Unspecified212582MD
Other0704865003MD · Cigna
Medicaid01689292PA

Other Providers at the Same Location NPPES 8

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

RENEE LYNN WATTERS
Social Worker (Clinical)
611 S CHARLES ST
BALTIMORE, MD 21230
Baltimore City (410) 328-2293
CAROLE M BOOTH MD
Psychologist
611 S CHARLES ST, FOURTH FLOOR
BALTIMORE, MD 21230
Baltimore City (410) 328-2293
UNIVERSITY OF MARYLAND MEDICAL CENTER
Social Worker (Clinical)
611 S CHARLES ST, SUITE 4
BALTIMORE, MD 21230
Baltimore City (410) 328-2292
MELANIE L ERVIN RN
Registered Nurse (Psychiatric/Mental Health, Adult)
611 S CHARLES ST, CARRUTHERS CLINIC
BALTIMORE, MD 21230
Baltimore City (410) 328-2293
KRISTAN HALAIKO
Social Worker
611 S CHARLES ST, FOURTH FLOOR
BALTIMORE, MD 21230
Baltimore City (410) 328-7584
CARRIE H ETHERIDGE LCSW-C
Social Worker (Clinical)
611 S CHARLES ST
BALTIMORE, MD 21230
Baltimore City (410) 328-7584
ELIZABETH CUSTODIO BOWERY
Student in an Organized Health Care Education/Training Program
611 S CHARLES ST, FOURTH FLOOR
BALTIMORE, MD 21230
Baltimore City (410) 328-2293
STEPAHNIE CHRISTINE BOUDREAU
Social Worker (Clinical)
611 S CHARLES ST
BALTIMORE, MD 21230
Baltimore City (410) 328-2293

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 Independent Dialysis Foundation, Inc's NPI number?

The NPI number for Independent Dialysis Foundation, Inc is 1487662243. It was assigned to this organization in the NPPES registry on August 4, 2006.

Where is Independent Dialysis Foundation, Inc located?

Independent Dialysis Foundation, Inc is located at 611 S Charles St, Baltimore, MD 21230. The listed phone number is (410) 468-0900.

What is Independent Dialysis Foundation, 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.

When was this NPI record last updated?

The NPPES record for Independent Dialysis Foundation, Inc was last updated on July 16, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years 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.