COLONIAL KIDNEYCARE SPECIALISTS, PC
NPI 1528451671
Internal Medicine - Nephrology in Colonial Heights, VA

Active since March 13, 2015
3601 BOULEVARD, SUITE C, COLONIAL HEIGHTS, VA 23834(804) 504-0068(804) 504-0080 Get Directions Write a Review

NPPES record last updated: March 13, 2015. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Colonial Kidneycare Specialists, Pc NPPES

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

COLONIAL KIDNEYCARE SPECIALISTS, PC (NPI 1528451671) is a healthcare organization registered as a nephrology in Colonial Heights, Virginia and active in the NPI registry since March 2015. The organization lists Satish K Bankuru, President, as its authorized official.

NPPES Registry Identity

NPI1528451671
Entity TypeOrganization
Primary Taxonomy207RN0300X
Legal Business NameCOLONIAL KIDNEYCARE SPECIALISTS, PC
Location Address3601 BOULEVARD, SUITE CColonial Heights, VA 23834-1338
Mailing Address3601 Boulevard, Suite CColonial Heights, VA 23834-1338 · (804) 504-0068 · Fax (804) 504-0080
Fax(804) 504-0080
Organization SubpartNo
Authorized OfficialSatish K BankuruPresident · (804) 504-0068
Enumeration DateMarch 13, 2015
✔ NPI 1528451671 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · NephrologyAllopathic & Osteopathic Physicians
Taxonomy Code207RN0300X
License✔ Licensed in VA · 0101236668
Definition
An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.
3601 BOULEVARD, Colonial Heights, VA 23834

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Colonial Kidneycare Specialists, Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

8

Medicare enrollment records show 8 clinicians reassign Medicare billing to Colonial Kidneycare Specialists, PC, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 3 within 10 miles. They are listed nearest first.

Clinicians, nearest first (8)

Nephrology
NPI 1215120183
3601 BOULEVARD SUITE C
Colonial Heights, VA 23834
(804) 504-0068
✔ PECOS✔ Accepts MedicareSame address
Nephrology
NPI 1750331732
3601 BOULVARD SUITE C
Colonial Heights, VA 23834
(804) 504-0068
✔ PECOS✔ Accepts Medicare1.4 mi
Nephrology
NPI 1316127939
267 MEDICAL PARK BLVD
Petersburg, VA 23805
(804) 766-2114
✔ PECOS✔ Accepts Medicare6.7 mi
Nurse Practitioner
NPI 1265059760
8425 HAMPTON FARMS DR
Moseley, VA 23120
(180) 493-3287
✔ PECOS✔ Accepts Medicare19 mi
Nurse Practitioner
NPI 1235873019
1407 PAGE RD
Midlothian, VA 23113
(540) 429-2073
✔ PECOS24 mi
Nurse Practitioner
NPI 1154066694
22350 LINDEN ST
Courtland, VA 23837
(757) 556-4297
✔ PECOS✔ Accepts Medicare43 mi
Nurse Practitioner
NPI 1609050285
2000 MEADE PKWY
Suffolk, VA 23434
(757) 539-0251
✔ PECOS✔ Accepts Medicare58 mi
Internal Medicine
NPI 1760801252
1400 S COULTER ST
Amarillo, TX 79106
(806) 414-9100
✔ PECOS1,373 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 Colonial Kidneycare Specialists, PC's NPI number?

The NPI number for Colonial Kidneycare Specialists, PC is 1528451671. It was assigned to this organization in the NPPES registry on March 13, 2015.

Where is Colonial Kidneycare Specialists, PC located?

Colonial Kidneycare Specialists, PC is located at 3601 Boulevard Suite C, Colonial Heights, VA 23834. The listed phone number is (804) 504-0068.

What is Colonial Kidneycare Specialists, PC's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Nephrology, with taxonomy code 207RN0300X.

Is Colonial Kidneycare Specialists, PC enrolled in Medicare?

Yes. Colonial Kidneycare Specialists, PC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Colonial Kidneycare Specialists, PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 8 clinicians in 3 Medicare specialties reassign their Medicare billing to Colonial Kidneycare Specialists, PC. 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. The largest specialties are Nurse Practitioner (4), Nephrology (3) and Internal Medicine (1). Of these, 1 practice at this address and 3 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Colonial Kidneycare Specialists, PC was last updated on March 13, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.