Organization Active NPI

Fusion Dialysis PD LLC

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Ft Lauderdale, FL
National Provider Identifier
1245122472
Registry record updated Jul 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
End-Stage Renal Disease (ESRD) Treatment Clinic/CenterTaxonomy code 261QE0700X
Legal business name
FUSION DIALYSIS PD LLC
Practice address
1880 E Commercial Blvd Ste 3
Ft Lauderdale, FL 33308-3747
Phone
(954) 284-0072
NPI assigned
Jul 21, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2025

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

Authorized official

Name
Yadriel Toledo
Title
Administrator
Phone
(305) 495-3113

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
End-Stage Renal Disease (ESRD) Treatment Clinic/Center 261QE0700X Primary

Addresses

Primary practice location

1880 E Commercial Blvd Ste 3
Ft Lauderdale, FL 33308-3747

Mailing address

1880 E Commercial Blvd Ste 3
Ft Lauderdale, FL 33308-3747
Phone (954) 284-0072

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20251126002967 FL Part A Provider - End-Stage Renal Disease Facility (ESRD) 9032601984 Practice locations: Fort Lauderdale, FL

Care Compare: Dialysis facility

Medicare Care Compare
Listed as
Fusion Dialysis PD LLCCCN 692775
Ownership
Profit
Certified
Feb 11, 2026
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.

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
10D2333646Fusion Dialysis PD LLC1880 E Commercial Blvd, Suite 3, Fort Lauderdale, FL 33308Certificate of waiverNov 6, 2027

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1753056000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1753056000000",
    "number": "1245122472",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1880 E COMMERCIAL BLVD STE 3",
            "city": "FT LAUDERDALE",
            "state": "FL",
            "postal_code": "333083747",
            "telephone_number": "954-284-0072"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1880 E COMMERCIAL BLVD STE 3",
            "city": "FT LAUDERDALE",
            "state": "FL",
            "postal_code": "333083747",
            "telephone_number": "954-284-0072"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FUSION DIALYSIS PD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-07-21",
        "last_updated": "2025-07-21",
        "certification_date": "2025-07-21",
        "status": "A",
        "authorized_official_last_name": "TOLEDO",
        "authorized_official_first_name": "YADRIEL",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "305-495-3113"
    },
    "taxonomies": [
        {
            "code": "261QE0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, End-Stage Renal Disease (ESRD) Treatment",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ft Lauderdale, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 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.