Concerto Missouri LLC

Primary specialty

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

Legal business name

CONCERTO MISSOURI LLC

Practice address

404 E Bannister Rd Ste F
Kansas City, MO 64131-3020

Phone

(847) 443-1228

Fax

(947) 443-1328

NPI assigned

Feb 18, 2021

Last updated

Apr 14, 2021By 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

Ceo/Manager

Phone

(847) 443-1228

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MO

Enrollment records 1

Listed as

Concerto Missouri LLCCCN 262700

Ownership

Profit

Certified

Sep 3, 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 7

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

• Hameed Ahmad, M.D.

  • Hospitalist Physician
  • Kansas City, MO
  • NPI 1144437310

  Dialysis facility

  Care Compare affiliation Name & address match
• Svetha Chunduri, M.D.

  • Nephrology Physician
  • Chesterfield, MO
  • NPI 1033346838

  Dialysis facility

  Care Compare affiliation Name & address match
• Pablo Daniel Dayer, MD

  • Nephrology Physician
  • Chesterfield, MO
  • NPI 1972778165

  Dialysis facility

  Care Compare affiliation Name & address match
• Maisa A Nazzal, M.D.

  • Nephrology Physician
  • Saint Louis, MO
  • NPI 1295991073

  Dialysis facility

  Care Compare affiliation Name & address match
• Inderjit Singh, MD

  • Nephrology Physician
  • Saint Louis, MO
  • NPI 1609842434

  Dialysis facility

  Care Compare affiliation Name & address match
• David D Yuan, MD

  • Nephrology Physician
  • Bridgeton, MO
  • NPI 1972552123

  Dialysis facility

  Care Compare affiliation Name & address match
• Guangchen Zou, M.D.

  • Nephrology Physician
  • Saint Charles, MO
  • NPI 1093378994

  Dialysis facility

  Care Compare affiliation Name & address match

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

{
    "created_epoch": "1613606400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1618358400000",
    "number": "1316530462",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4600 W TOUHY AVE STE 100",
            "city": "LINCOLNWOOD",
            "state": "IL",
            "postal_code": "607121606",
            "telephone_number": "847-443-1228",
            "fax_number": "947-443-1328"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "404 E BANNISTER RD STE F",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641313020",
            "telephone_number": "847-443-1228",
            "fax_number": "947-443-1328"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CONCERTO MISSOURI LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-02-18",
        "last_updated": "2021-04-14",
        "certification_date": "2021-04-14",
        "status": "A",
        "authorized_official_last_name": "MEYSTEL",
        "authorized_official_first_name": "SHIMON",
        "authorized_official_title_or_position": "CEO/MANAGER",
        "authorized_official_telephone_number": "847-443-1228"
    },
    "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 Kansas City, MO
• Providers in Kansas City, MO by specialty
• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2021; 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.