Dialysis Clinic Inc.

Primary specialty

End-Stage Renal Disease (ESRD) Treatment Clinic/CenterTaxonomy code 261QE0700X

License

OTC-0307 Issued in AZ

Legal business name

DIALYSIS CLINIC INC.

Practice address

2022 E Prince Rd
Tucson, AZ 85719-2005

Phone

(520) 327-0007

Fax

(520) 327-6902

NPI assigned

Jul 8, 2006

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Donovan Schultz

Title

President

Phone

(615) 327-3061

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in AZ

Enrollment records 1

Listed as

032514 Desert Dialysis Center (Dci)CCN 032514

Overall star rating

3.0 of 5

Ownership

Non-profit

Certified

Jan 16, 1986

Medicare certification status

ActiveFrom the Provider of Services file

Chain

Dialysis Clinic, Inc.

Dialysis stations

19

Tax ID family

Elbert P Tuttle Jr MD238 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 3

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

• Dialysis Clinic Inc.

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Douglas, AZ
  • NPI 1326240094
  NPD tax ID
• Dialysis Clinic Inc.

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Tucson, AZ
  • NPI 1871526251
  NPD tax ID
• Dialysis Clinic Inc.

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Green Valley, AZ
  • NPI 1972705648
  NPD tax ID

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

Affiliated clinicians 5

Clinicians who list this facility as an affiliation in Medicare Care Compare.

• Yeong-Hau H Lien, MD, PH.D

  • Nephrology Physician
  • Tucson, AZ
  • NPI 1356448815

  Dialysis facility

  Care Compare affiliation Name & address match
• Iyad Sami Mansour, MD

  • Nephrology Physician
  • Tucson, AZ
  • NPI 1215360508

  Dialysis facility

  Care Compare affiliation Name & address match
• Sangeetha Murugapandian, M.D

  • Internal Medicine Physician
  • Tucson, AZ
  • NPI 1619283629

  Dialysis facility

  Care Compare affiliation Name & address match
• Amy Nicole Sussman, MD

  • Nephrology Physician
  • Tucson, AZ
  • NPI 1215047337

  Dialysis facility

  Care Compare affiliation Name & address match
• Golnaz Vahdani, MD

  • Student in an Organized Health Care Education/Training Program
  • Glendale, AZ
  • NPI 1497118889

  Dialysis facility

  Care Compare affiliation Name & address match

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1152316800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1696377600000",
    "number": "1023041407",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2022 E PRINCE RD",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857192005",
            "telephone_number": "520-327-0007",
            "fax_number": "520-327-6902"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2022 E PRINCE RD",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857192005",
            "telephone_number": "520-327-0007",
            "fax_number": "520-327-6902"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIALYSIS CLINIC INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-08",
        "last_updated": "2023-10-04",
        "certification_date": "2023-10-04",
        "status": "A",
        "authorized_official_last_name": "SCHULTZ",
        "authorized_official_first_name": "DONOVAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "615-327-3061",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QE0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, End-Stage Renal Disease (ESRD) Treatment",
            "state": "AZ",
            "license": "OTC-0307",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8002997304",
            "state": "NM"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "061375",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Anir Dhir, M.D.
• Diana Diaconu, LCSW
• Diagnostic Pathology Consultants, PC
• Kathleen Susan Dial, R.D.
• Djenabou Diallo
• Dialysis Clinic Inc.
• Diamond State Iup, LLC
• Cheryl Beth Diamond, M.D.
• Laura Jane Diamond, RDN
• Rebekkah Diamond

• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Tucson, AZ
• Providers in Tucson, AZ by specialty
• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.