What Nephrology Associates does

Nephrology Associates, P.A. is a private, physician-owned nephrology specialty practice founded in 1974 and headquartered in Newark, Delaware. It operates as the largest single specialty practice caring for patients with kidney disease and hypertension in Delaware and Cecil County, Maryland, with a clinical staff of 26 or more board-certified nephrologists supported by nurse practitioners and physician assistants. The practice delivers care across eight office locations spanning New Castle, Kent, and Sussex Counties in Delaware plus Cecil County, MD, and provides 24/7 inpatient physician coverage at all major Delaware hospitals and Union Hospital in Elkton, MD.

The practice operates a vertically integrated kidney care delivery model spanning multiple service lines: in-center hemodialysis (including nocturnal dialysis), a robust home dialysis program, and continuous renal replacement therapy for over 1,300 dialysis patients; two state-of-the-art vascular access centers in Newark and Milford for diagnostic evaluation, maintenance, and repair of dialysis accesses; the S.P.R.I.N.T. multidisciplinary chronic kidney disease management program emphasizing patient education and disease progression delay; and Delaware's first kidney transplant program, opened in 2006 as a joint venture with Christiana Care Health System. The practice holds medical directorships at multiple Fresenius Kidney Care dialysis centers throughout Delaware and Maryland, with physicians holding indirect ownership interests in 13 of those facilities. Technology integration includes participation in DHIN (Delaware Health Information Network) and CRISP (Chesapeake Regional Information System for our Patients) regional health information exchanges for electronic patient data sharing.

Revenue is generated through standard fee-for-service medical billing across Medicare, Medicaid, and commercial insurance carriers, with a $20 no-show fee as the only ancillary revenue mechanism disclosed. The practice accepts referrals from family physicians and other healthcare providers, with new patients scheduled within two weeks of referral and urgent appointments available on request. Go-to-market is entirely referral-driven and hospital-affiliation-driven, with no direct-to-consumer or digital marketing channels identified. The practice maintains HIPAA-compliant operations and supports community education through National Kidney Foundation and PKD Foundation partnerships.

Name

Nephrology Associates

Legal name

Nephrology Associates, P.A.

Website

https://delawarekidney.com

Company type

Private

Founded year

1974

Operating status

Operating

Headcount range

51–100 employees

Short description

Nephrology Associates, P.A. is a private, physician-owned nephrology practice founded in 1974 and the largest single specialty kidney care provider in Delaware and Cecil County, MD, operating eight offices, two vascular access centers, dialysis services for 1,300+ patients, and Delaware's first kidney transplant program.

Ownership category

akta.pro rank

Product category

Nephrology and Kidney Disease Treatment Services

NAICS

Kidney Dialysis Centers (621492), Ambulatory Health Care Services (621), Other Outpatient Care Centers (62149)

SIC

Services-Offices & Clinics Of Doctors Of Medicine (8011), Services-Specialty Outpatient Facilities, Nec (8093)

akta.pro primary industry

General Nephrology Practice (HLAKAHAA)

akta.pro secondary industries

Dialysis Services (Hemodialysis & Peritoneal Dialysis) (HLAKAHAC), Renal Transplant Medicine (Pre/Post-Transplant Care) (HLAKAHAD), Interventional Nephrology (Dialysis Access Procedures) (HLAKAHAE), Outpatient Dialysis & Kidney Care Centers (HLAFABAE)

Keywords

• Nephrology medical services
• Kidney disease treatment
• Dialysis services
• Vascular access care
• Hypertension management

Headquarters

HQ city

Newark

HQ country

United States

HQ region

North America

Offices8 records

Markets served

GTM type

B2C

Offering type

Services

Cost components

Personnel, Operations, Infrastructure, Technology or R&D, Marketing or Sales

Revenue model

1. Medical Services Billing: Healthcare services billed through insurance, Medicare, and Medicaid. The practice participates with Medicare, Medicaid and most insurance carriers in Delaware and Cecil County, MD. Standard copays collected at time of service.

Pricing tiers

Go-to-market motion1 record

Distribution channels4 records

Marketing channels4 records

Core offering

Nephrology Associates provides comprehensive medical care for kidney disease, hypertension, and related conditions through physician consultations, in-center and home dialysis services, vascular access procedures, a structured chronic kidney disease management program (S.P.R.I.N.T.), and Delaware's first kidney transplant program. Services are delivered through eight regional office locations, hospital affiliations, vascular access centers, and dialysis facility partnerships across Delaware and Cecil County, Maryland.

Product overview

Nephrology Associates, P.A. is the largest single specialty practice caring for patients with kidney disease and hypertension in Delaware and Cecil County, MD, established in 1974. The practice operates as a unified healthcare delivery system comprising multiple service lines: nephrology consultations, dialysis services (in-center hemodialysis, nocturnal dialysis, and home dialysis), vascular access centers for diagnostic evaluation and maintenance of dialysis accesses, the S.P.R.I.N.T. chronic kidney disease management program, and Delaware's first kidney transplant program in partnership with Christiana Care Health System. The practice also participates in regional health information exchanges (DHIN and CRISP) for electronic health record interoperability.

Differentiator

Problem solved

Functional benefit

Products and services

• Nephrology Care Services
• Dialysis Services
• S.P.R.I.N.T. Program
• Vascular Access Centers
• Kidney Transplant Program

Quantifiable outcome

• Over 1,300 dialysis patients served
• +2 more outcomes

Named customers4 records

Segments4 records

Ideal customer profiles2 records

Technology focussed No

API detail

Has API

No

API docs

API detail

Core technology

AI maturity

App detail

Feature3 records

Partnerships

Six partnerships are on record, tiered core and minor.

• Christiana Care Health SystemcoreStrategic or Co-development PartnerIn 2006, Nephrology Associates and Christiana Care Health System realized a joint vision by opening the first kidney transplant program in Delaware. Nephrology Associates provides the Medical Director (Dr. Stephanie Gilibert) and transplant nephrologists including Dr. Helen Chang-DeGuzman who evaluate patients and provide immediate post-transplant care. The practice has 24/7 physician coverage at Christiana Care hospitals.
• DHIN (Delaware Health Information Network)coreTechnology or IntegrationMajor DHIN subscriber. The practice participated in the initial testing and design of the DHIN system and continues to refine its capabilities with DHIN management. DHIN is a regional network of healthcare providers in Delaware and Maryland who share patient data electronically.
• CRISP (Chesapeake Regional Information System for our Patients)coreTechnology or IntegrationRegional health information exchange (HIE) serving Maryland and the District of Columbia. Nephrology Associates participates to provide faster access, better coordination of care, and assist healthcare providers and public health officials in making more informed decisions.
• Fresenius Kidney CarecoreOthersNephrology Associates physicians own indirect financial interests in 13 Fresenius Kidney Care dialysis centers listed in their disclosure. The practice also provides medical directorships at numerous Fresenius locations throughout Delaware and Maryland.
• National Kidney FoundationminorStrategic or Co-development PartnerCommits to community service by supporting National Kidney Foundation Walks and educational efforts throughout the region.
• PKD FoundationminorStrategic or Co-development PartnerCommits to community service by supporting PKD Foundation Walks and educational efforts throughout the region.

Scale indicators4 records

Recent moves6 records

Expansion highlights4 records

Broad incumbents

• U.S. Renal Care: Mid-sized U.S. dialysis platform operating outpatient centers and integrated kidney care programs. Comparable business model of partnering with local nephrology groups to staff centers, with overlapping patient segments and referral economics.
• DaVita Kidney Care: Second-largest U.S. outpatient dialysis provider, directly comparable to Fresenius. Competes for the same dialysis patient population, value-based contracts, and integrated kidney care deals that Nephrology Associates supports through its Delaware-based vascular access and home dialysis franchise.
• Dialysis Clinic, Inc. (DCI): Non-profit dialysis provider with a national footprint and significant presence in the Mid-Atlantic. Competes with Nephrology Associates for hospital partnerships, dialysis patient referrals, and home dialysis programs in overlapping geographies.
• Fresenius Kidney Care: Largest U.S. dialysis provider and a core operational partner of Nephrology Associates. Practice physicians own indirect financial interests in 13 Fresenius centers and provide medical directorships, making Fresenius both a referral channel and the dominant competitor in any home dialysis or value-based care expansion.

Others

• Christiana Care Health System: Delaware's largest health system and Nephrology Associates' partner in Delaware's first kidney transplant program. Functions as a referral source and joint-venture counterparty; could become a competitor if Christiana Care internalizes nephrology coverage.

Regional players

• Mid-Atlantic Kidney Centers: Regional Mid-Atlantic dialysis provider serving populations geographically adjacent to Nephrology Associates. Overlaps on dialysis patient acquisition, vascular access demand, and hospital relationships in neighboring states.
• Atlantic General Nephrology / Atlantic Nephrology: Regional nephrology practices operating in the broader Mid-Atlantic (e.g., Maryland, New Jersey). Comparable in scale, service mix (consultations + dialysis oversight), and referral-driven GTM, and a natural potential partner or roll-up target alongside Nephrology Associates.

Emerging players

• Satellite Healthcare: Non-profit kidney disease provider focused on home dialysis and integrated CKD care. Comparable to Nephrology Associates' S.P.R.I.N.T. and home dialysis programs and a credible partner/acquirer candidate for value-based kidney care expansion.

Market position

Strengths5 records

Weaknesses6 records

Competitive moat5 records

Key risks7 records

Key highlights8 records

Customer concentration

• LinkedInlinkedin.com/company/nephrology-associates-pa-delaware

Compliance1 record

Revenue estimate

Valuation estimate

Number of profiles

Profiles3 records

Funding overview

Funding rounds

Investors

Funding detail is available on the Subscription and Enterprise plan.Contact sales →

M&A

Investments

M&A and investment is available on the Subscription and Enterprise plan.Contact sales →

Frequently asked questions about Nephrology Associates