Pure Life Renal of Overland Park, LLC
NPI 1083248181 · End-Stage Renal Disease (ESRD) Treatment Clinic/Center · Overland Park, KS
Enrolled with Medicare as Part a Provider - End-Stage Renal Disease Facility (esrd) · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Pure Life Renal of Overland Park, LLC is a End-Stage Renal Disease (ESRD) Treatment Clinic/Center organization in Overland Park, KS (NPI 1083248181).
Provider details
- NPI number
- 1083248181
- Entity type
- Organization
- Primary specialty
- End-Stage Renal Disease (ESRD) Treatment Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Jeff Fernandez, Cfo(954) 962-5733
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
6 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2020-02-27
- Last updated
- 2020-02-27
- Certified
- 2020-02-27
Frequently asked questions
- What is Pure Life Renal of Overland Park, LLC's NPI number?
- Pure Life Renal of Overland Park, LLC's National Provider Identifier (NPI) is 1083248181, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Pure Life Renal of Overland Park, LLC?
- Pure Life Renal of Overland Park, LLC is classified in the NPPES registry as End-Stage Renal Disease (ESRD) Treatment Clinic/Center (Ambulatory Health Care Facilities).
- Where is Pure Life Renal of Overland Park, LLC located?
- Pure Life Renal of Overland Park, LLC's practice location on file with NPPES is 11661 College Blvd Ste 106, Overland Park, KS 66210-4107.
- What is Pure Life Renal of Overland Park, LLC's phone number?
- The practice phone number listed in the NPPES registry for Pure Life Renal of Overland Park, LLC is (954) 962-5733.
- Does Pure Life Renal of Overland Park, LLC accept Medicare?
- Pure Life Renal of Overland Park, LLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Pure Life Renal of Overland Park, LLC?
- The authorized official listed on Pure Life Renal of Overland Park, LLC's NPPES record is Jeff Fernandez, Cfo. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Pure Life Renal of Overland Park, LLC's NPI active?
- Yes — Pure Life Renal of Overland Park, LLC's NPI (1083248181) is active in the NPPES registry as of the last update on 2020-02-27.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.