Concerto Florida LLC

Primary specialty

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

Legal business name

CONCERTO FLORIDA LLC

Practice address

8333 W McNab Rd Ste 119
Tamarac, FL 33321-3203

Phone

(847) 443-1228

Fax

(847) 443-1328

NPI assigned

Apr 7, 2022

Last updated

Dec 27, 2022By 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

Mr. Shimon Meystel

Title

Chief Executive Officer

Phone

(847) 443-1328

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Listed as

Concerto Florida LLCCCN 682788

Ownership

Profit

Certified

Nov 12, 2024

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 5

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

• Rajesh Agarwala, M.D.

  • Nephrology Physician
  • Boca Raton, FL
  • NPI 1679893234

  Dialysis facility

  Care Compare affiliation Name & address match
• Mohamad El Kassem, MD

  • Nephrology Physician
  • Coral Springs, FL
  • NPI 1699009761

  Dialysis facility

  Care Compare affiliation Name & address match
• Oleksandr Ivanovych Kovalchuk, M.D.

  • Nephrology Physician
  • Ocala, FL
  • NPI 1437390788

  Dialysis facility

  Care Compare affiliation Name & address match
• Pablo Emmanuel Puello Diaz, MD

  • Nephrology Physician
  • Vero Beach, FL
  • NPI 1700205523

  Dialysis facility

  Care Compare affiliation Name & address match
• Sailaja V Ventrapragada, MD

  • Nephrology Physician
  • Ocala, FL
  • NPI 1427235241

  Dialysis facility

  Care Compare affiliation Name & address match

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

{
    "created_epoch": "1649289600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1672099200000",
    "number": "1336880731",
    "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": "8333 W MCNAB RD STE 119",
            "city": "TAMARAC",
            "state": "FL",
            "postal_code": "333213203",
            "telephone_number": "847-443-1228",
            "fax_number": "847-443-1328"
        }
    ],
    "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 FLORIDA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-04-07",
        "last_updated": "2022-12-27",
        "certification_date": "2022-12-27",
        "status": "A",
        "authorized_official_last_name": "MEYSTEL",
        "authorized_official_first_name": "SHIMON",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "847-443-1328",
        "authorized_official_name_prefix": "Mr."
    },
    "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 Tamarac, FL
• Providers in Tamarac, FL by specialty
• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 2022; 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.