Active NPI
I-Dialysis, LLC
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Nacogdoches, TX
National Provider Identifier
1356733588
On this page
Key facts
NPPES NPI Registry- Primary specialty
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Legal business name
- I-DIALYSIS, LLC
- Practice address
- 8760 US Hwy 59 S
Nacogdoches, TX 75964-3158 - Phone
- (936) 715-0777
- Fax
- (936) 715-0779
- NPI assigned
- Feb 25, 2015
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Imran Nazeer, MD
- Title
- Manager
- Phone
- (936) 715-0777
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| End-Stage Renal Disease (ESRD) Treatment Clinic/Center | 261QE0700X | TX | Primary |
Addresses
Primary practice location
8760 US Hwy 59 S
Nacogdoches, TX 75964-3158
Mailing address
8760 US Hwy 59 S
Nacogdoches, TX 75964-3158
Phone (936) 715-0777
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20160329002480 | TX | Part A Provider - End-Stage Renal Disease Facility (ESRD) | 4385941715 | Practice locations: Nacogdoches, TX |
Care Compare: Dialysis facility
Medicare Care Compare- Listed as
- I Dialysis, LLC
- Ownership
- Profit
- Certified
- Sep 27, 2018
- Medicare certification status
- Active
- Chain
- Other
- Dialysis stations
- 1
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 |
|---|---|---|---|
| 45D2122505 | I Dialysis, LLC | Certificate of waiver | Nov 29, 2026 |
National Provider Directory
National Provider DirectoryLocations
409 Gaslight Blvd
#I
Lufkin, TX 75904
8760 S US Highway 59
Nacogdoches, TX 75964
Phone (936) 715-0777
Practitioners & affiliated clinicians
Affiliated clinicians 3
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": "1424822400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1715731200000",
"number": "1356733588",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8760 US HWY 59 S",
"city": "NACOGDOCHES",
"state": "TX",
"postal_code": "759643158",
"telephone_number": "936-715-0777",
"fax_number": "936-715-0779"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8760 US HWY 59 S",
"city": "NACOGDOCHES",
"state": "TX",
"postal_code": "759643158",
"telephone_number": "936-715-0777",
"fax_number": "936-715-0779"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "I-DIALYSIS, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2015-02-25",
"last_updated": "2024-05-15",
"certification_date": "2024-05-15",
"status": "A",
"authorized_official_last_name": "NAZEER",
"authorized_official_first_name": "IMRAN",
"authorized_official_title_or_position": "MANAGER",
"authorized_official_telephone_number": "936-715-0777",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "261QE0700X",
"taxonomy_group": "",
"desc": "Clinic/Center, End-Stage Renal Disease (ESRD) Treatment",
"state": "TX",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Nacogdoches, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2024; 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.