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MY KIDNEY CENTER, LLC
NPI 1770823668
Clinic/Center - Medical Specialty in Manhattan, KS

Active since February 28, 2013
1133 COLLEGE AVE, BUILDING B, SUITE 100, MANHATTAN, KS 66502(785) 565-9500(785) 565-9595 Get Directions Write a Review

NPPES record last updated: August 30, 2016. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Aug 30, 2016, Jun 17, 2016 (2 updates tracked since 2016).

About My Kidney Center, Llc NPPES

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

MY KIDNEY CENTER, LLC (NPI 1770823668) is a healthcare organization registered as a medical specialty in Manhattan, Kansas and active in the NPI registry since February 2013. The organization lists Fadi V Bedros, Owner, as its authorized official.

NPPES Registry Identity

NPI1770823668
Entity TypeOrganization
Primary Taxonomy261QM2500X
Legal Business NameMY KIDNEY CENTER, LLC
Location Address1133 COLLEGE AVE, BUILDING B, SUITE 100Manhattan, KS 66502-2770
Mailing Address1133 College Ave, Building B, Suite 100Manhattan, KS 66502-2770 · (785) 565-9500 · Fax (785) 565-9595
Phone(785) 565-9500
Fax(785) 565-9595
Organization SubpartNo
Authorized OfficialFadi V BedrosOwner · (785) 565-9500
Enumeration DateFebruary 28, 2013
Last NPPES UpdateAugust 30, 20162 updates tracked since enumeration
✔ NPI 1770823668 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Medical SpecialtyAmbulatory Health Care Facilities
Taxonomy Code261QM2500X
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer).
1133 COLLEGE AVE, Manhattan, KS 66502
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Sunflower Health Plan, Ambetter Health, Ambetter Health of Delaware and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

My Kidney Center, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

4

Medicare enrollment records show 4 clinicians reassign Medicare billing to My Kidney Center, LLC, which bills Medicare for the services they deliver. Of these, 3 practice at this address. They are listed nearest first.

Clinicians, nearest first (4)

Patricia Gutowski, DNP, FNP, APRN-C
Nurse Practitioner
NPI 1720610066
1133 COLLEGE AVE STE B
Manhattan, KS 66502
(785) 565-9500
✔ PECOS✔ Accepts MedicareSame address
Sandra Tabor, ARNP-C
Nurse Practitioner
NPI 1316235351
1133 COLLEGE AVE # B100
Manhattan, KS 66502
(785) 565-9500
✔ PECOSSame address
Fadi Bedros, M.D.
Nephrology
NPI 1407893290
1133 COLLEGE AVE BUILDING B, SUITE 100
Manhattan, KS 66502
(785) 565-9500
✔ PECOS✔ Accepts MedicareSame address
Keith Kramer, DO
Nephrology
NPI 1588813240
101 MOSAIC CT STE 300
Saint Joseph, MO 64506
(816) 232-8145
✔ PECOS✔ Accepts Medicare105 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 My Kidney Center, LLC's NPI number?

The NPI number for My Kidney Center, LLC is 1770823668. It was assigned to this organization in the NPPES registry on February 28, 2013.

Where is My Kidney Center, LLC located?

My Kidney Center, LLC is located at 1133 College Ave Building B, Suite 100, Manhattan, KS 66502. The listed phone number is (785) 565-9500.

What is My Kidney Center, LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Medical Specialty, with taxonomy code 261QM2500X.

Is My Kidney Center, LLC enrolled in Medicare?

Yes. My Kidney Center, LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through My Kidney Center, LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 4 clinicians reassign their Medicare billing to My Kidney Center, LLC, in Nephrology and Nurse Practitioner. 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. Of these, 3 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does My Kidney Center, LLC accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Sunflower Health Plan, Ambetter of Oklahoma and Blue Cross and Blue Shield of Kansas, Inc. list My Kidney Center, LLC 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 My Kidney Center, LLC was last updated on August 30, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.