Dialysis Clinic Inc.

Primary specialty

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

License

ESRD008 Issued in NE

Legal business name

DIALYSIS CLINIC INC.

Practice address

3316 Dodge St
Omaha, NE 68131-3403

Phone

(402) 342-0190

Fax

(402) 342-4199

NPI assigned

Jul 8, 2006

Organization subpart

No

Name

Mr. Donovan Schultz

Title

President

Phone

(615) 327-3061

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

• Mohamad Ali Alhajhusain

  • Nephrology Physician
  • Omaha, NE
  • NPI 1770713257

  Dialysis facility

  Care Compare affiliation Name & address match
• Khalid Bashir, M.D.

  • Nephrology Physician
  • Omaha, NE
  • NPI 1013021815

  Dialysis facility

  Care Compare affiliation Name & address match
• Richard J Lund, M.D.

  • Nephrology Physician
  • Omaha, NE
  • NPI 1609969468

  Dialysis facility

  Care Compare affiliation Name & address match

Listed as

Dialysis Clinics, Inc - OmahaCCN 282504

Overall star rating

1.0 of 5

Ownership

Non-profit

Certified

Mar 1, 1993

Medicare certification status

ActiveFrom the Provider of Services file

Chain

Dialysis Clinic, Inc.

Dialysis stations

30

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Medicare fee-for-service enrollment

Enrolled in NE

Enrollment records 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

Tax ID family

Elbert P Tuttle Jr MD238 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 2

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

• Dialysis Clinic Inc

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Omaha, NE
  • NPI 1528581949
  NPD tax ID
• Dialysis Clinic Inc.

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Bellevue, NE
  • NPI 1861425340
  NPD tax ID

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Oct 4, 2023.

{
    "created_epoch": "1152316800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1696377600000",
    "number": "1366475741",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3316 DODGE ST",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681313403",
            "telephone_number": "402-342-0190",
            "fax_number": "402-342-4199"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3316 DODGE ST",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681313403",
            "telephone_number": "402-342-0190",
            "fax_number": "402-342-4199"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIALYSIS CLINIC INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-08",
        "last_updated": "2023-10-04",
        "certification_date": "2023-10-04",
        "status": "A",
        "authorized_official_last_name": "SCHULTZ",
        "authorized_official_first_name": "DONOVAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "615-327-3061",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QE0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, End-Stage Renal Disease (ESRD) Treatment",
            "state": "NE",
            "license": "ESRD008",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0907246",
            "state": "IA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0220445",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Racine Mohamed Faicale Diallo
• Touboulde Mariam Diallo
• Wendpouire Marthe Sandrine Diallo
• Youssoufi Diallo
• Dialysis Clinic Inc
• Dialysis Clinic Inc.
• Steven J Diamantis, MD
• Diamond Chiropractic & Acupuncture, LLC
• Diamond Chiropractic North LLC
• Jennifer N Diamond, DO

• All providers in Omaha, NE
• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• 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.