Muscatine Kidney Center, LLC

Primary specialty

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

Legal business name

MUSCATINE KIDNEY CENTER, LLC

Practice address

311 Parham St
Muscatine, IA 52761-2604

Phone

(563) 263-5384

Fax

(563) 263-5738

NPI assigned

Apr 27, 2010

Organization subpart

No

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

Authorized official

Name

Dr. Rajesh Alla, M.D.

Title

Medical Director

Phone

(309) 762-5570

Specialties & licenses 1

Addresses

Other identifiers 2

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Venkateswararao Alla, M.D.

  • Nephrology Physician
  • Moline, IL
  • NPI 1669476339
  NPD (past)

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

{
    "created_epoch": "1272326400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1409270400000",
    "number": "1124345301",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 JOHN DEERE RD",
            "city": "MOLINE",
            "state": "IL",
            "postal_code": "612656898",
            "telephone_number": "309-762-5570",
            "fax_number": "309-762-5297"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "311 PARHAM ST",
            "city": "MUSCATINE",
            "state": "IA",
            "postal_code": "527612604",
            "telephone_number": "563-263-5384",
            "fax_number": "563-263-5738"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MUSCATINE KIDNEY CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-04-27",
        "last_updated": "2014-08-29",
        "status": "A",
        "authorized_official_last_name": "ALLA",
        "authorized_official_first_name": "RAJESH",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "309-762-5570",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QE0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, End-Stage Renal Disease (ESRD) Treatment",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS-WELLMARK",
            "identifier": "1124345301",
            "state": "IA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1124345301",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lisa Murphy
• Muscatine Chiropractic Center PC
• Muscatine Community School District
• Muscatine County Community Services
• Muscatine Dermatology, PLC
• Muscatine Nursing and Rehabilitation Center LLC
• Muscatine Physical Therapy Services, P.C.
• Muscatine SNF Operator LLC
• Muscatine Urgent Care, PLC
• Manasi P Nadkarni, MD

• All providers in Muscatine, IA
• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.