Organization Active NPI

Midtown Home Dialysis LLC

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Oklahoma City, OK
National Provider Identifier
1043820111
Registry record updated Sep 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
End-Stage Renal Disease (ESRD) Treatment Clinic/CenterTaxonomy code 261QE0700X
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

Updated by the provider on Sep 2, 2025

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)CodeLicenseStatePrimary
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 Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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 DialysisCCN 372618
Overall star rating
2.0 of 5
Ownership
Profit
Certified
Jan 17, 2022
Medicare certification status
ActiveFrom the Provider of Services file
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 LLCCCN 372616
Ownership
Profit
Certified
Aug 23, 2021
Medicare certification status
ActiveFrom the Provider of Services file

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 Directory

Locations

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.

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.

Verify at the official NPI Registry.