Active NPI
Concerto Massachusetts LLC
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Stoughton, MA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Legal business name
- CONCERTO MASSACHUSETTS LLC
- Practice address
- 1256 Park St Ste 102
Stoughton, MA 02072-3745 - Phone
- (847) 233-1200
- Fax
- (847) 443-1328
- NPI assigned
- Jul 27, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Shimon Meystel
- Title
- Chief Executive Officer
- Phone
- (847) 443-1228
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| End-Stage Renal Disease (ESRD) Treatment Clinic/Center | 261QE0700X | Primary |
Addresses
Primary practice location
1256 Park St Ste 102
Stoughton, MA 02072-3745
Mailing address
4600 W Touhy Ave Ste 100
Lincolnwood, IL 60712-1606
Phone (847) 443-1228
Other practice location 1
4600 W Touhy Ave Ste 100
Lincolnwood, IL 60712-1606
Phone (847) 443-1228
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20240618004108 | MA | Part A Provider - End-Stage Renal Disease Facility (ESRD) | 2567905557 | Practice locations: Stoughton, MA |
Care Compare: Dialysis facility
Medicare Care Compare- Listed as
- Concerto Massachusetts LLC
- Ownership
- Profit
- Certified
- Sep 6, 2024
- Medicare certification status
- Active
- Dialysis stations
- 1
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 NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 22D2278157 | Concerto Massachusetts LLC | Certificate of waiver | Mar 12, 2027 |
National Provider Directory
National Provider DirectoryLocations
4600 W Touhy Ave
Ste 100
Lincolnwood, IL 60712
Phone (847) 233-1202
1256 Park St
Ste 102
Stoughton, MA 02072
Practitioners & affiliated clinicians
Affiliated clinicians 7
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": "1595808000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1725840000000",
"number": "1558970525",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4600 W TOUHY AVE STE 100",
"city": "LINCOLNWOOD",
"state": "IL",
"postal_code": "607121606",
"telephone_number": "847-443-1228",
"fax_number": "847-443-1328"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1256 PARK ST STE 102",
"city": "STOUGHTON",
"state": "MA",
"postal_code": "020723745",
"telephone_number": "847-233-1200",
"fax_number": "847-443-1328"
}
],
"practiceLocations": [
{
"address_1": "4600 W Touhy Ave Ste 100",
"address_purpose": "LOCATION",
"city": "Lincolnwood",
"state": "IL",
"postal_code": "607121606",
"country_code": "US",
"telephone_number": "847-443-1228",
"fax_number": "847-443-1328",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "CONCERTO MASSACHUSETTS LLC",
"organizational_subpart": "NO",
"enumeration_date": "2020-07-27",
"last_updated": "2024-09-09",
"certification_date": "2024-09-09",
"status": "A",
"authorized_official_last_name": "MEYSTEL",
"authorized_official_first_name": "SHIMON",
"authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
"authorized_official_telephone_number": "847-443-1228"
},
"taxonomies": [
{
"code": "261QE0700X",
"taxonomy_group": "",
"desc": "Clinic/Center, End-Stage Renal Disease (ESRD) Treatment",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Stoughton, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 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.