COASTAL KIDNEY CENTER PA
NPI 1801961537
Internal Medicine - Nephrology in Conway, SC
About Coastal Kidney Center Pa NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
COASTAL KIDNEY CENTER PA (NPI 1801961537) is a healthcare organization registered as a nephrology in Conway, South Carolina and active in the NPI registry since November 2006. The organization holds a CLIA Microscopy certificate valid through March 21, 2027 and lists Sivanthan Balachandran, President, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 1
Group Practice 1
Accepted 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)
Coastal Kidney Center Pa is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
12Medicare enrollment records show 12 clinicians reassign Medicare billing to Coastal Kidney Center PA, which bills Medicare for the services they deliver. Of these, 3 practice at this address and 9 within 10 miles. They are listed nearest first.
Clinicians by Medicare Specialty 3
Clinicians, nearest first (12)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 for Provider-Performed Microscopy Procedures (PPMP) 42D0958562
Coastal Kidney Center PA · Conway, SCFrequently 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 Coastal Kidney Center PA's NPI number?
The NPI number for Coastal Kidney Center PA is 1801961537. It was assigned to this organization in the NPPES registry on November 21, 2006.
Where is Coastal Kidney Center PA located?
Coastal Kidney Center PA is located at 847 Farrar Drive, Conway, SC 29526. The listed phone number is (843) 347-9487.
What is Coastal Kidney Center PA's specialty?
The primary specialty registered for this NPI is Internal Medicine, specializing in Nephrology, with taxonomy code 207RN0300X.
Is Coastal Kidney Center PA enrolled in Medicare?
Yes. Coastal Kidney Center PA is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Coastal Kidney Center PA?
According to the CMS Revalidation Reassignment List (October 2026 release), 12 clinicians in 3 Medicare specialties reassign their Medicare billing to Coastal Kidney Center PA. 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 (7), Nephrology (4) and Hospitalist (1). Of these, 3 practice at this address and 9 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Coastal Kidney Center PA hold a CLIA laboratory certificate?
Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 42D0958562) is associated with this NPI, valid through March 21, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
What insurance does Coastal Kidney Center PA accept?
Health plans from BlueCross BlueShield of South Carolina and First Choice Next list Coastal Kidney Center PA 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 Coastal Kidney Center PA was last updated on September 25, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.
# Coastal Kidney Center Pa · NPI 1801961537
Nephrology organization in Conway, South Carolina. Organization record, active in the CMS NPPES registry since November 21, 2006.
## Identity
- **NPI:** 1801961537 (Entity type: Organization)
- **Enumerated:** November 21, 2006
- **Primary specialty:** Internal Medicine - Nephrology · taxonomy 207RN0300X
- **Organization subpart:** No
- **Authorized official:** Sivanthan Balachandran, PRESIDENT
## Practice location
- **Address:** 847 FARRAR DRIVE, Conway, SC 29526
- **Phone:** (843) 347-9487 · **Fax:** (843) 347-9574
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 12 clinicians in 3 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (7), Nephrology (4), Hospitalist (1); 3 practice at this address and 9 within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** September 25, 2024
- **Other identifiers:** Medicaid GP1049 (SC)
- **CLIA laboratory certificates:** 1 on file
---
Source: [NPI Profile](https://npiprofile.com/npi/1801961537) · Data from the CMS NPPES public registry.