Physicians Choice Dialysis of Montgomery LLC

Primary specialty

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

Legal business name

PHYSICIANS CHOICE DIALYSIS OF MONTGOMERY LLC

Practice address

2201 E South Blvd
Montgomery, AL 36116-2404

Phone

(302) 290-7408

Fax

(610) 495-8560

NPI assigned

Jul 28, 2017

Organization subpart

No

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

Authorized official

Name

Kelly Smith

Title

Director

Phone

(302) 290-7408

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AL

Enrollment records 1

Listed as

PCD Montgomery CommunityCCN 012709

Overall star rating

1.0 of 5

Ownership

Profit

Certified

Oct 16, 2019

Medicare certification status

ActiveFrom the Provider of Services file

Chain

Other

Dialysis stations

10

Locations

Affiliated clinicians 1

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

• Hari Naga Venu Gopal Garapati, M.B.B.S, MD, MSPH

  • Nephrology Physician
  • Greenville, SC
  • NPI 1285895540

  Dialysis facility

  Care Compare affiliation Name & address match

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

{
    "created_epoch": "1501200000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1735776000000",
    "number": "1215451612",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "211 COMMERCE CT STE 104",
            "city": "POTTSTOWN",
            "state": "PA",
            "postal_code": "194643483",
            "telephone_number": "610-495-8900",
            "fax_number": "610-495-8560"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2201 E SOUTH BLVD",
            "city": "MONTGOMERY",
            "state": "AL",
            "postal_code": "361162404",
            "telephone_number": "302-290-7408",
            "fax_number": "610-495-8560"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHYSICIANS CHOICE DIALYSIS OF MONTGOMERY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-07-28",
        "last_updated": "2025-01-02",
        "certification_date": "2025-01-02",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "KELLY",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "302-290-7408"
    },
    "taxonomies": [
        {
            "code": "261QE0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, End-Stage Renal Disease (ESRD) Treatment",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Chethana R. Phonde, M.D.
• Chiangchanh Phothisane, PHARMD
• Chris H Phung, RPH
• Physicians Choice Dialysis of Alabama LLC (Physicians Choice Dialysis - Montgomery)
• Physicians Choice Dialysis of Alabama LLC (Physicians Choice Dialysis - East Montgomery)
• Physicians for Women
• Physicians Making House Calls, LLC
• Philip S Piasecki, MD
• Anthony Piazza
• Lisa Paramore Pickelsimer

• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Montgomery, AL
• Providers in Montgomery, AL by specialty
• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 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.