Concerto Utah LLC

Primary specialty

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

Legal business name

CONCERTO UTAH LLC

Practice address

9253 S Redwood Rd Ste a
West Jordan, UT 84088-5816

Phone

(847) 443-1228

NPI assigned

Feb 17, 2023

Organization subpart

No

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

Authorized official

Name

Mr. Shimon Meystel

Title

Chief Executive Officer/Manager

Phone

(847) 443-1228

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in UT

Enrollment records 1

Listed as

Concerto Utah LLCCCN 462561

Ownership

Profit

Certified

Sep 12, 2023

Medicare certification status

ActiveFrom the Provider of Services file

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 1

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

• Amandeep Singh Chadha, MD

  • Nephrology Physician
  • Ogden, UT
  • NPI 1881635845

  Dialysis facility

  Care Compare affiliation Name & address match

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

{
    "created_epoch": "1676592000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1687219200000",
    "number": "1295433464",
    "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": "847-443-1328"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9253 S REDWOOD RD STE A",
            "city": "WEST JORDAN",
            "state": "UT",
            "postal_code": "840885816",
            "telephone_number": "847-443-1228"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4600 W Touhy Ave",
            "address_purpose": "LOCATION",
            "city": "Lincolnwood",
            "state": "IL",
            "postal_code": "607121606",
            "country_code": "US",
            "telephone_number": "847-443-1228",
            "fax_number": "847-443-1328",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "CONCERTO UTAH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-02-17",
        "last_updated": "2023-06-20",
        "certification_date": "2023-06-20",
        "status": "A",
        "authorized_official_last_name": "MEYSTEL",
        "authorized_official_first_name": "SHIMON",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER/MANAGER",
        "authorized_official_telephone_number": "847-443-1228",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QE0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, End-Stage Renal Disease (ESRD) Treatment",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brigham G Colton, DMD
• Charity Colver
• Complete Smiles LLC
• Complete Smiles Mountain View - Accelerate LLC
• Tangi Conard
• Drew Ray Conder
• Christopher Andrew Cook, DNP,CPNP-PC
• Heather Cook, PAC
• Stephanie Cook
• Naomi Cooke

• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in West Jordan, UT
• Providers in West Jordan, UT by specialty
• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 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.