Active NPI
Triple Creek Dialysis LLC
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Cincinnati, OH
National Provider Identifier
1336855592
On this page
Key facts
NPPES NPI Registry- Primary specialty
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- 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 LLC
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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 Creek
- Ownership
- Profit
- Certified
- Oct 25, 2023
- Medicare certification status
- Active
- 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 NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 36D2291930 | Trilogy Dialysis - Triple Creek | Certificate of waiver | Oct 17, 2027 |
National Provider Directory
National Provider DirectoryLocations
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.