Billings Clinic Dialysis LLC

Primary specialty

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

Legal business name

BILLINGS CLINIC DIALYSIS LLC

Practice address

616 N 25TH St
Billings, MT 59101-1040

Phone

(406) 657-4100

NPI assigned

Feb 7, 2014

Organization subpart

No

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

Authorized official

Name

Donovan Schultz

Title

President

Phone

(615) 327-3061

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MT

Enrollment records 1

Listed as

Billings Clinic DialysisCCN 272510

Overall star rating

2.0 of 5

Ownership

Non-profit

Certified

Apr 1, 2014

Medicare certification status

ActiveFrom the Provider of Services file

Chain

Dialysis Clinic, Inc.

Dialysis stations

36

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Member of 2

Organizations this organization is a member of, according to the National Provider Directory.

• Billings Clinic

  • General Acute Care Hospital
  • Billings, MT
  • NPI 1265478291

  Member Of

  NPD member
• Dialysis Clinic Inc.

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Brownsville, TN
  • NPI 1013940493

  Member Of

  NPD member

Affiliated clinicians 3

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

• Jonathan Jakubowski, MD

  • Nephrology Physician
  • Billings, MT
  • NPI 1205322286

  Dialysis facility

  Care Compare affiliation Name & address match
• Marco Bruno Thierry, MD

  • Nephrology Physician
  • Billings, MT
  • NPI 1518528207

  Dialysis facility

  Care Compare affiliation Name & address match
• Kendrick Ann Trostel, M.D.

  • Nephrology Physician
  • Billings, MT
  • NPI 1174537658

  Dialysis facility

  Care Compare affiliation Name & address match

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

{
    "created_epoch": "1391731200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1696464000000",
    "number": "1043634280",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1633 CHURCH ST",
            "address_2": "SUITE 500",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372032990",
            "telephone_number": "615-327-3061",
            "fax_number": "615-329-2513"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "616 N 25TH ST",
            "city": "BILLINGS",
            "state": "MT",
            "postal_code": "591011040",
            "telephone_number": "406-657-4100"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2800 10th Ave N",
            "address_2": "Suite D",
            "address_purpose": "LOCATION",
            "city": "Billings",
            "state": "MT",
            "postal_code": "591010703",
            "country_code": "US",
            "telephone_number": "406-657-4100",
            "fax_number": "406-657-3793",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "BILLINGS CLINIC DIALYSIS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-02-07",
        "last_updated": "2023-10-05",
        "certification_date": "2023-10-05",
        "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"
    },
    "taxonomies": [
        {
            "code": "261QE0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, End-Stage Renal Disease (ESRD) Treatment",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• All providers in Billings, MT
• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Montana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.