Organization Active NPI

I-Dialysis, LLC

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Nacogdoches, TX
National Provider Identifier
1356733588
Registry record updated May 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
End-Stage Renal Disease (ESRD) Treatment Clinic/CenterTaxonomy code 261QE0700X
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

Updated by the provider on May 15, 2024

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)CodeLicenseStatePrimary
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 IDStateProvider typePAC IDDetails
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, LLCCCN 672883
Ownership
Profit
Certified
Sep 27, 2018
Medicare certification status
ActiveFrom the Provider of Services file
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 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
45D2122505I Dialysis, LLC8760 US Highway 59 South, Nacogdoches, TX 75964Certificate of waiverNov 29, 2026

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.