Active NPI
Midtown Home Dialysis LLC
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Oklahoma City, OK
On this page
Key facts
NPPES NPI Registry- Primary specialty
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Legal business name
- MIDTOWN HOME DIALYSIS LLC
- Practice address
- 3727 NW 63Rd St Ste 320
Oklahoma City, OK 73116-1931 - Phone
- (405) 286-0391
- Fax
- (405) 767-6741
- NPI assigned
- Aug 4, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Leslie A Whiles
- Title
- Manager Member
- Phone
- (580) 695-1306
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| End-Stage Renal Disease (ESRD) Treatment Clinic/Center | 261QE0700X | Primary |
Addresses
Primary practice location
3727 NW 63Rd St Ste 320
Oklahoma City, OK 73116-1931
Mailing address
3727 NW 63Rd St Ste 320
Oklahoma City, OK 73116-1931
Phone (405) 286-0391
Other names 1
- New Direction Home Dialysis
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OK
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20210708000341 | OK | Part A Provider - End-Stage Renal Disease Facility (ESRD) | 1951703388 | Practice locations: Oklahoma City, OK |
Care Compare: Dialysis facility
Medicare Care Compare- Listed as
- OKC Home Dialysis
- Overall star rating
- Ownership
- Profit
- Certified
- Jan 17, 2022
- Medicare certification status
- Active
- Dialysis stations
- 1
Name & address match This facility record has no NPI; it was connected to this NPI by matching name and address.
Care Compare: Dialysis facility
Medicare Care Compare- Listed as
- Midtown Home Dialysis LLC
- Ownership
- Profit
- Certified
- Aug 23, 2021
- Medicare certification status
- Active
Name & address match This facility record has no NPI; it was connected to this NPI by matching name and address.
National Provider Directory
National Provider DirectoryLocations
621 NW 6th St
Oklahoma City, OK 73102
Phone (405) 767-6740
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Family Nurse Practitioner
- Oklahoma City, OK
- NPI 1528637204
Affiliated clinicians 1
Clinicians who list this facility as an affiliation in Medicare Care Compare.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1596499200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1756771200000",
"number": "1043820111",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3727 NW 63RD ST STE 320",
"city": "OKLAHOMA CITY",
"state": "OK",
"postal_code": "731161931",
"telephone_number": "405-286-0391",
"fax_number": "405-767-6741"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3727 NW 63RD ST STE 320",
"city": "OKLAHOMA CITY",
"state": "OK",
"postal_code": "731161931",
"telephone_number": "405-286-0391",
"fax_number": "405-767-6741"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MIDTOWN HOME DIALYSIS LLC",
"organizational_subpart": "NO",
"enumeration_date": "2020-08-04",
"last_updated": "2025-09-02",
"certification_date": "2025-01-28",
"status": "A",
"authorized_official_last_name": "WHILES",
"authorized_official_first_name": "LESLIE",
"authorized_official_middle_name": "A",
"authorized_official_title_or_position": "MANAGER MEMBER",
"authorized_official_telephone_number": "580-695-1306"
},
"taxonomies": [
{
"code": "261QE0700X",
"taxonomy_group": "",
"desc": "Clinic/Center, End-Stage Renal Disease (ESRD) Treatment",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "New Direction Home Dialysis",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Oklahoma City, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2025; 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.