Aurora Dialysis, LLC

Primary specialty

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

Legal business name

AURORA DIALYSIS, LLC

Practice address

1451 44TH Ave S
Suite 104D
Grand Forks, ND 58201-3434

Phone

(701) 775-5800

Fax

(701) 775-5200

NPI assigned

Sep 20, 2007

Last updated

Jun 23, 2014By 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

Dr. Khaled Rabadi, M.D.NPI 1639180425

Title

Owner/Manager

Phone

(701) 775-5800

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in ND

Enrollment records 1

Listed as

Aurora Dialysis LLCCCN 352503

Overall star rating

1.0 of 5

Ownership

Profit

Certified

Apr 22, 2008

Medicare certification status

ActiveFrom the Provider of Services file

Dialysis stations

18

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

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Khaled M Rabadi, MD

  • Internal Medicine Physician
  • Grand Forks, ND
  • NPI 1639180425
  Authorized official Same address or phone

Affiliated clinicians 1

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

• Khaled M Rabadi, MD

  • Internal Medicine Physician
  • Grand Forks, ND
  • NPI 1639180425

  Dialysis facility

  Care Compare affiliation Name & address match

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

{
    "created_epoch": "1190246400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1403481600000",
    "number": "1417143710",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1451 44TH AVE S",
            "address_2": "SUITE 104D",
            "city": "GRAND FORKS",
            "state": "ND",
            "postal_code": "582013434",
            "telephone_number": "701-775-5800",
            "fax_number": "701-775-5200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1451 44TH AVE S",
            "address_2": "SUITE 104D",
            "city": "GRAND FORKS",
            "state": "ND",
            "postal_code": "582013434",
            "telephone_number": "701-775-5800",
            "fax_number": "701-775-5200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AURORA DIALYSIS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-20",
        "last_updated": "2014-06-23",
        "status": "A",
        "authorized_official_last_name": "RABADI",
        "authorized_official_first_name": "KHALED",
        "authorized_official_title_or_position": "OWNER/MANAGER",
        "authorized_official_telephone_number": "701-775-5800",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QE0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, End-Stage Renal Disease (ESRD) Treatment",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sarah Nancy Atallah, MD
• Benito W. Aubergine, MD
• Heather Ann Audet, MOTR/L
• Daniel William Augustadt
• Rachel Aure
• Aurora Health LLC
• Aurora Medical Center, LLC
• Aurora Medical Park Laboratory LLC
• Aurora Surgery Center, LLC
• Aurora Urgent Care LLC

• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Grand Forks, ND
• Providers in Grand Forks, ND by specialty
• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in North Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2014; 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.