Organization Active NPI

Triple Creek Dialysis LLC

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Cincinnati, OH
National Provider Identifier
1336855592
Registry record updated Jan 30, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
End-Stage Renal Disease (ESRD) Treatment Clinic/CenterTaxonomy code 261QE0700X
Legal business name
TRIPLE CREEK DIALYSIS LLC
Practice address
11230 Pippin Rd Ste B
Cincinnati, OH 45231-1202
Phone
(513) 878-4782
NPI assigned
Jan 30, 2023
Organization subpart
Yes
Parent organization
TRILOGY DIALYSIS LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jan 30, 2023

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

Authorized official

Name
Cristina Pietrowski
Title
SVP & Chief Legal Officer
Phone
(502) 412-5847

Specialties & licenses 1

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

Addresses

Primary practice location

11230 Pippin Rd Ste B
Cincinnati, OH 45231-1202

Mailing address

PO Box 221648
Louisville, KY 40252-1648
Phone (502) 412-5847

Other names 1

  • Trilogy Dialysis Triple Creek Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230825000952 OH Part A Provider - End-Stage Renal Disease Facility (ESRD) 8628431566 Practice locations: Cincinnati, OH

Care Compare: Dialysis facility

Medicare Care Compare
Listed as
Trilogy Dialysis - Triple CreekCCN 722505
Ownership
Profit
Certified
Oct 25, 2023
Medicare certification status
ActiveFrom the Provider of Services file
Dialysis stations
6

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
36D2291930Trilogy Dialysis - Triple Creek11230 Pippin Road, Suite B, Cincinnati, OH 45231Certificate of waiverOct 17, 2027

National Provider Directory

National Provider Directory

Locations

11230 Pippin Rd
Ste B
Cincinnati, OH 45231
Phone (513) 878-4782

Practitioners & affiliated clinicians

Affiliated clinicians 2

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

NPI Registry JSON

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

{
    "created_epoch": "1675036800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1675036800000",
    "number": "1336855592",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 221648",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402521648",
            "telephone_number": "502-412-5847"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11230 PIPPIN RD STE B",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452311202",
            "telephone_number": "513-878-4782"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRIPLE CREEK DIALYSIS LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "TRILOGY DIALYSIS LLC",
        "enumeration_date": "2023-01-30",
        "last_updated": "2023-01-30",
        "certification_date": "2023-01-27",
        "status": "A",
        "authorized_official_last_name": "PIETROWSKI",
        "authorized_official_first_name": "CRISTINA",
        "authorized_official_title_or_position": "SVP & CHIEF LEGAL OFFICER",
        "authorized_official_telephone_number": "502-412-5847"
    },
    "taxonomies": [
        {
            "code": "261QE0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, End-Stage Renal Disease (ESRD) Treatment",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Trilogy Dialysis Triple Creek",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Cincinnati, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 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.