Little Rock Dialysis Centers LLC

Primary specialty

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

Legal business name

LITTLE ROCK DIALYSIS CENTERS LLC

Doing business as

North Little Rock Dialysis Center

Practice address

4505 E McCain Blvd
North Little Rock, AR 72117-2902

Phone

(501) 945-2323

Fax

(501) 955-1162

NPI assigned

May 3, 2007

Last updated

Apr 8, 2024By 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

Samuel Wey

Title

VP Licensure & Certification

Phone

(615) 341-6641

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• North Little Rock Dialysis Center Doing business as

Medicare fee-for-service enrollment

Enrolled in AR

Enrollment records 1

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

• Little Rock Dialysis Centers LLC

  dba Jacksonville Central Dialysis Center

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Jacksonville, AR
  • NPI 1982822631

  2961509690

  Same PAC ID

Listed as

DaVita North Little Rock Dialysis CenterCCN 042548

Overall star rating

1.0 of 5

Ownership

Profit

Certified

May 29, 1998

Medicare certification status

ActiveFrom the Provider of Services file

Chain

DaVita

Dialysis stations

12

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

CLIA laboratory certificates

Tax ID family

Little Rock Dialysis Centers LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• North Little Rock Dialysis

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Tacoma, WA
  • NPI 1225456379
  NPD tax ID

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• Total Renal Care Inc

  dba TRC Children's Dialysis Center

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Chicago, IL
  • NPI 1396704508

  Member Of

  NPD member

Locations

Affiliated clinicians 2

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

• Muhammad G Alam, MD, MPH

  • Nephrology Physician
  • Little Rock, AR
  • NPI 1932202819

  Dialysis facility

  Care Compare affiliation Name & address match
• Kashaf Afzal Rasheed, MD

  • Nephrology Physician
  • Little Rock, AR
  • NPI 1013926062

  Dialysis facility

  Care Compare affiliation Name & address match

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

{
    "created_epoch": "1178150400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1712534400000",
    "number": "1497977714",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5200 VIRGINIA WAY",
            "address_2": "L&C DEPT",
            "city": "BRENTWOOD",
            "state": "TN",
            "postal_code": "370277569"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4505 E MCCAIN BLVD",
            "city": "NORTH LITTLE ROCK",
            "state": "AR",
            "postal_code": "721172902",
            "telephone_number": "501-945-2323",
            "fax_number": "501-955-1162"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LITTLE ROCK DIALYSIS CENTERS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-03",
        "last_updated": "2024-04-08",
        "certification_date": "2024-04-08",
        "status": "A",
        "authorized_official_last_name": "WEY",
        "authorized_official_first_name": "SAMUEL",
        "authorized_official_title_or_position": "VP LICENSURE & CERTIFICATION",
        "authorized_official_telephone_number": "615-341-6641"
    },
    "taxonomies": [
        {
            "code": "261QE0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, End-Stage Renal Disease (ESRD) Treatment",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "168425134",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "North Little Rock Dialysis Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "North Little Rock Dialysis Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Gloria Schultz Linson, CRNA
• Lisa M. McGill Linson, PH.D.
• Riley Lipschitz, MD
• Alexis Lipscomb
• Lisa Academy
• Little Rock Dialysis, Inc. (Arkansas Dialysis)
• Little Rock Eye Clinic, LLP
• Little Rock Neurosurgery Clinic
• Little Rock Physical Medicine & Rehabilitation (Thomas M. Ward, MD)
• Little Rock Vamc

• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in North Little Rock, AR
• Providers in North Little Rock, AR by specialty
• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2024; 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.