Quality Dialysis Two LP

Primary specialty

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

License

007039 Issued in TX

Legal business name

QUALITY DIALYSIS TWO LP

Practice address

13311 Pike Rd
Stafford, TX 77477-5111

Phone

(281) 491-4009

Fax

(866) 557-4844

NPI assigned

Aug 3, 2005

Last updated

Jun 16, 2018By 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

Ms. Maria Hemenez, RN

Title

Administrator

Phone

(281) 491-4009

Specialties & licenses 3

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Listed as

Quality Dialysis Two, IncCCN 452801

Overall star rating

1.0 of 5

Ownership

Profit

Certified

Aug 4, 1999

Medicare certification status

ActiveFrom the Provider of Services file

Dialysis stations

3

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 2

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

• Humaira Khawaja Chaudhary, M.D.

  • Nephrology Physician
  • Sugar Land, TX
  • NPI 1912904996

  Dialysis facility

  Care Compare affiliation Name & address match
• Dana Faye Mitchell, M.D.

  • Nephrology Physician
  • Houston, TX
  • NPI 1659308450

  Dialysis facility

  Care Compare affiliation Name & address match

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

{
    "created_epoch": "1123027200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1529107200000",
    "number": "1386645026",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13311 PIKE RD",
            "city": "STAFFORD",
            "state": "TX",
            "postal_code": "774775111",
            "telephone_number": "281-491-4009",
            "fax_number": "866-557-4844"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13311 PIKE RD",
            "city": "STAFFORD",
            "state": "TX",
            "postal_code": "774775111",
            "telephone_number": "281-491-4009",
            "fax_number": "866-557-4844"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "13311 Pike Rd Ste E",
            "address_purpose": "LOCATION",
            "city": "Stafford",
            "state": "TX",
            "postal_code": "774775111",
            "country_code": "US",
            "telephone_number": "281-491-4009 x232",
            "fax_number": "866-557-4844",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "QUALITY DIALYSIS TWO LP",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-08-03",
        "last_updated": "2018-06-16",
        "status": "A",
        "authorized_official_last_name": "HEMENEZ",
        "authorized_official_first_name": "MARIA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "281-491-4009",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "261QE0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, End-Stage Renal Disease (ESRD) Treatment",
            "state": "TX",
            "license": "007039",
            "primary": true
        },
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": "TX",
            "license": null,
            "primary": false
        },
        {
            "code": "261QI0500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Infusion Therapy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "094322701",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DMEPOS ACCREDIDIATION CERTIFICATION",
            "identifier": "019456",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TEXAS DEPARTMENT OF STATE HEALTH SERVICES REGULATORY UNIT-ESRD FACILITY",
            "identifier": "007039",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Elizabeth Ragan

• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Stafford, TX
• Providers in Stafford, TX by specialty
• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2018; 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.