Dialysis Clinic Inc.

Primary specialty

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

License

EPCU Issued in MA

Legal business name

DIALYSIS CLINIC INC.

Practice address

56 Winthrop St
Unit 2a
Concord, MA 01742-2076

Phone

(978) 369-1683

Fax

(978) 369-2562

NPI assigned

Jul 8, 2006

Last updated

Oct 4, 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

Donovan Schultz

Title

President

Phone

(615) 327-3061

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

Listed as

Dci Walden PondCCN 222559

Overall star rating

4.0 of 5

Ownership

Non-profit

Certified

Jun 9, 2003

Medicare certification status

ActiveFrom the Provider of Services file

Chain

Dialysis Clinic, Inc.

Dialysis stations

13

Tax ID family

Dialysis Clinic Inc238 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 3

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

• Dialysis Clinic Inc.

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Boston, MA
  • NPI 1497774632
  NPD tax ID
• Dialysis Clinic Inc.

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Boston, MA
  • NPI 1750314134
  NPD tax ID
• Dialysis Clinic Inc.

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Somerville, MA
  • NPI 1972536357
  NPD tax ID

Locations

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

Affiliated clinicians 2

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

• Erin Flanagin, M.D.

  • Internal Medicine Physician
  • Boston, MA
  • NPI 1144670753

  Dialysis facility

  Care Compare affiliation Name & address match
• Rabia Akhtar, M.D.

  • Nephrology Physician
  • New Brunswick, NJ
  • NPI 1184030959

  Dialysis facility

  Care Compare affiliation Name & address match

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

{
    "created_epoch": "1152316800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1696377600000",
    "number": "1316970890",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "56 WINTHROP ST",
            "address_2": "UNIT 2A",
            "city": "CONCORD",
            "state": "MA",
            "postal_code": "017422076",
            "telephone_number": "978-369-1683",
            "fax_number": "978-369-2562"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "56 WINTHROP ST",
            "address_2": "UNIT 2A",
            "city": "CONCORD",
            "state": "MA",
            "postal_code": "017422076",
            "telephone_number": "978-369-1683",
            "fax_number": "978-369-2562"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIALYSIS CLINIC INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-08",
        "last_updated": "2023-10-04",
        "certification_date": "2023-10-04",
        "status": "A",
        "authorized_official_last_name": "SCHULTZ",
        "authorized_official_first_name": "DONOVAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "615-327-3061"
    },
    "taxonomies": [
        {
            "code": "261QE0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, End-Stage Renal Disease (ESRD) Treatment",
            "state": "MA",
            "license": "EPCU",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1319302",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jennifer I Desaulniers, PSY.D.
• Andrea Desharone, LMHC
• Jeff C Desjarlais
• Daniel Devoe
• Jordan Lynne Dewhurst, FNP-C
• Wendi Tama Diamond, M.D.
• Caitlin Dibiasie, PT
• Alannah Dibona, LMHC
• Constance Dimarino, M.S.
• Stephanie Doreen Dirocco, MS RD LDN

• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Concord, MA
• Providers in Concord, MA by specialty
• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• 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.