Concerto Ohio LLC

Primary specialty

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

Legal business name

CONCERTO OHIO LLC

Practice address

10330 Sawmill Pkwy Ste 475
Powell, OH 43065-3553

Phone

(847) 233-1200

Fax

(847) 443-1328

NPI assigned

May 29, 2020

Last updated

Sep 27, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Shimon Meystel

Title

Chief Executive Officer

Phone

(847) 233-1202

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OH

Enrollment records 1

Listed as

Concerto OhioCCN 362897

Ownership

Profit

Certified

Jan 5, 2021

Medicare certification status

ActiveFrom the Provider of Services file

Dialysis stations

1

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

CLIA laboratory certificates

Locations

Affiliated clinicians 30

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

• Sudhir Adhikari, MD

  • Nephrology Physician
  • Cincinnati, OH
  • NPI 1972705960

  Dialysis facility

  Care Compare affiliation Name & address match
• Akinfemi Samson Afolabi, M.D.

  • Nephrology Physician
  • Oregon, OH
  • NPI 1992782965

  Dialysis facility

  Care Compare affiliation Name & address match
• Sayed Asad Ali, M.D.

  • Nephrology Physician
  • Troy, OH
  • NPI 1982709903

  Dialysis facility

  Care Compare affiliation Name & address match
• Saurabh Bansal, MD

  • Nephrology Physician
  • Westlake, OH
  • NPI 1508172321

  Dialysis facility

  Care Compare affiliation Name & address match
• Pramod Anand Bhargava, M.D.

  • Nephrology Physician
  • Canton, OH
  • NPI 1568450534

  Dialysis facility

  Care Compare affiliation Name & address match
• Frank Boateng, M.D

  • Nephrology Physician
  • Newark, OH
  • NPI 1609025527

  Dialysis facility

  Care Compare affiliation Name & address match
• Saud Butt, M.D.

  • Nephrology Physician
  • Cincinnati, OH
  • NPI 1063600328

  Dialysis facility

  Care Compare affiliation Name & address match
• Buthayna A Dinary, M.D

  • Nephrology Physician
  • Westlake, OH
  • NPI 1902245087

  Dialysis facility

  Care Compare affiliation Name & address match
• John R Garton, MD

  • Nephrology Physician
  • Canton, OH
  • NPI 1821094210

  Dialysis facility

  Care Compare affiliation Name & address match
• Andrew E Lazar, MD

  • Nephrology Physician
  • Beachwood, OH
  • NPI 1164424081

  Dialysis facility

  Care Compare affiliation Name & address match
• Charles Mbanefo, M.D MRCP

  • Nephrology Physician
  • Cleveland, OH
  • NPI 1881720886

  Dialysis facility

  Care Compare affiliation Name & address match
• Houssam Mhanna, M.D.

  • Internal Medicine Physician
  • Cleveland, OH
  • NPI 1508105560

  Dialysis facility

  Care Compare affiliation Name & address match

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

{
    "created_epoch": "1590710400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1695772800000",
    "number": "1245854876",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4600 W TOUHY AVE",
            "city": "LINCOLNWOOD",
            "state": "IL",
            "postal_code": "607121606",
            "telephone_number": "847-443-1228",
            "fax_number": "847-972-1016"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10330 SAWMILL PKWY STE 475",
            "city": "POWELL",
            "state": "OH",
            "postal_code": "430653553",
            "telephone_number": "847-233-1200",
            "fax_number": "847-443-1328"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CONCERTO OHIO LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-05-29",
        "last_updated": "2023-09-27",
        "certification_date": "2023-09-27",
        "status": "A",
        "authorized_official_last_name": "MEYSTEL",
        "authorized_official_first_name": "SHIMON",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "847-233-1202"
    },
    "taxonomies": [
        {
            "code": "261QE0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, End-Stage Renal Disease (ESRD) Treatment",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Powell, OH
• Providers in Powell, OH by specialty
• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2023; 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.