Dialysis Clinic Inc.

Primary specialty

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

License

ECS7 Issued in MA

Legal business name

DIALYSIS CLINIC INC.

Practice address

1153 Centre St
Boston, MA 02130-3446

Phone

(617) 983-4470

Fax

(617) 983-4490

NPI assigned

Jul 19, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Donovan Schultz

Title

President

Phone

(615) 327-3061

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MA

Enrollment records 1

Listed as

DCI Brigham/FaulknerCCN 222552

Overall star rating

4.0 of 5

Ownership

Non-profit

Certified

Jun 4, 2001

Medicare certification status

ActiveFrom the Provider of Services file

Chain

Dialysis Clinic, Inc.

Dialysis stations

21

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 3

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
  • Concord, MA
  • NPI 1316970890
  NPD tax ID
• Dialysis Clinic Inc.

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Boston, MA
  • NPI 1750314134
  NPD tax ID
• Dialysis Clinic Inc.

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Somerville, MA
  • NPI 1972536357
  NPD tax ID

All facility ownership & control disclosures 1

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

Affiliated clinicians 7

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

• Bradley Mark Denker, MD

  • Nephrology Physician
  • Boston, MA
  • NPI 1669438727

  Dialysis facility

  Care Compare affiliation Name & address match
• Finnian Raymond MC Causland, MB BCH BAO

  • Nephrology Physician
  • Boston, MA
  • NPI 1629206214

  Dialysis facility

  Care Compare affiliation Name & address match
• Mallika Mendu, MD

  • Nephrology Physician
  • Boston, MA
  • NPI 1023246279

  Dialysis facility

  Care Compare affiliation Name & address match
• David Bruce Mount, MD

  • Nephrology Physician
  • Boston, MA
  • NPI 1225076771

  Dialysis facility

  Care Compare affiliation Name & address match
• Ana Onuchic-Whitford, M.D.

  • Nephrology Physician
  • Boston, MA
  • NPI 1205245743

  Dialysis facility

  Care Compare affiliation Name & address match
• John Kevin Tucker, MD

  • Nephrology Physician
  • Boston, MA
  • NPI 1437187887

  Dialysis facility

  Care Compare affiliation Name & address match
• Kambiz Zandi-Nejad, M.D.

  • Nephrology Physician
  • Boston, MA
  • NPI 1164469789

  Dialysis facility

  Care Compare affiliation Name & address match

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

{
    "created_epoch": "1153267200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1696377600000",
    "number": "1497774632",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1153 CENTRE ST",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021303446",
            "telephone_number": "617-983-4470",
            "fax_number": "617-983-4490"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1153 CENTRE ST",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021303446",
            "telephone_number": "617-983-4470",
            "fax_number": "617-983-4490"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIALYSIS CLINIC INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-19",
        "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": "MA",
            "license": "ECS7",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1319281",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Diagnostics LLC
• Jennifer Diakun, MD
• Vandana M Dialani, MD
• Chelsea Diallo, NP
• Moussa Batouga Diallo
• Dialysis Clinic Inc.
• Brett Diamond, MD
• David A Diamond, MD
• Sarah Melissa Diamond, M.D.
• Scott J Diamond, DC

• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Boston, MA
• Providers in Boston, MA by specialty
• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Massachusetts

• 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.