Organization Active NPI

St James Dialysis Center Inc

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Gramercy, LA
National Provider Identifier
1487821880
Registry record updated May 14, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
End-Stage Renal Disease (ESRD) Treatment Clinic/CenterTaxonomy code 261QE0700X
Legal business name
ST JAMES DIALYSIS CENTER INC
Practice address
1661 Hwy 3125
Gramercy, LA 70052
Phone
(504) 780-1422
Fax
(504) 780-1432
NPI assigned
May 14, 2008
Last updated
May 14, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 14, 2008

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mr. Murat Hatipoglu
Title
Ceo
Phone
(504) 780-1422

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
End-Stage Renal Disease (ESRD) Treatment Clinic/Center 261QE0700X NU Primary

Addresses

Primary practice location

1661 Hwy 3125
Gramercy, LA 70052

Mailing address

4424 Conlin St
Suite 2a
Metairie, LA 70006-2147
Phone (504) 780-1422

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080630000718 LA Part A Provider - End-Stage Renal Disease Facility (ESRD) 4981776317 Practice locations: Gramercy, LA

Care Compare: Dialysis facility

Medicare Care Compare
Listed as
St James DialysisCCN 192700
Overall star rating
2.0 of 5
Ownership
Profit
Certified
Jul 17, 2009
Medicare certification status
ActiveFrom the Provider of Services file
Dialysis stations
12

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
19D1094294St James Dialysis Center1661 Hwy 3125, Gramercy, LA 70052Certificate of waiverJan 14, 2027

National Provider Directory

National Provider Directory

Locations

1661 Highway 3125
Gramercy, LA 70052
Phone (504) 780-1722

4424 Conlin St
Ste 2A
Metairie, LA 70006

Practitioners & affiliated clinicians

Practitioners 2

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.

Affiliated clinicians 1

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": "1210723200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1210723200000",
    "number": "1487821880",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4424 CONLIN ST",
            "address_2": "SUITE 2A",
            "city": "METAIRIE",
            "state": "LA",
            "postal_code": "700062147",
            "telephone_number": "504-780-1422",
            "fax_number": "504-780-1432"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1661 HWY 3125",
            "city": "GRAMERCY",
            "state": "LA",
            "postal_code": "70052",
            "telephone_number": "504-780-1422",
            "fax_number": "504-780-1432"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST JAMES DIALYSIS CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-14",
        "last_updated": "2008-05-14",
        "status": "A",
        "authorized_official_last_name": "HATIPOGLU",
        "authorized_official_first_name": "MURAT",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "504-780-1422",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QE0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, End-Stage Renal Disease (ESRD) Treatment",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gramercy, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2008; 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.