NPIMap

Organization Active NPI

Dialysis Access Center of Cincinnati, Inc.

  • Ambulatory Surgical Clinic/Center
  • Liberty Township, OH
National Provider Identifier
1568079788
Registry record updated Oct 1, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
Legal business name
DIALYSIS ACCESS CENTER OF CINCINNATI, INC.
Practice address
7335 Yankee Rd Ste 101
Liberty Township, OH 45044-0008
Phone
(513) 631-4555
Fax
(513) 631-5546
NPI assigned
Oct 1, 2020
Last updated
Oct 1, 2020By the provider in NPPES
Organization subpart
Yes
Parent organization
DIALYSIS ACCESS CENTER OF CINCINNATI, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 1, 2020

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

Authorized official

Name
Antoine L Samaha, MDNPI 1639113624
Title
Medical Director
Phone
(513) 487-5305

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulatory Surgical Clinic/Center 261QA1903X NU Primary

Addresses

Primary practice location

7335 Yankee Rd Ste 101
Liberty Township, OH 45044-0008

Mailing address

4600 Montgomery Rd Ste 105
Cincinnati, OH 45212-2600
Phone (513) 847-5305

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210421003042 OH Part B Supplier - Ambulatory Surgical Center 1456615236 Receives reassigned benefits from 12 practitioners
Practice locations: Liberty Township, OH

Other NPIs with the same Medicare PAC ID 1

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

Care Compare: Ambulatory surgical center

Medicare Care Compare
Listed as
Dialysis Access Center of CincinnatiincCCN 36C0001335
Medicare certification status
ActiveFrom the Provider of Services file

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
36D2213385Dialysis Access Center of Cincinnati7335 Yankee Road, Liberty Township, OH 45044Certificate of waiverFeb 10, 2027

National Provider Directory

National Provider Directory
Tax ID family
Dialysis Access Center of Cincinnati Inc3 organizations share this tax ID, including this one
Part of
Dialysis Access Center of Cincinnati Inc

Other organizations with this tax ID 2

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

Locations

7335 Yankee Rd
Ste 101
Liberty Township, OH 45044
Phone (513) 755-2524

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 14

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.

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1601510400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1601510400000",
    "number": "1568079788",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4600 MONTGOMERY RD STE 105",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452122600",
            "telephone_number": "513-847-5305",
            "fax_number": "513-847-5317"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7335 YANKEE RD STE 101",
            "city": "LIBERTY TOWNSHIP",
            "state": "OH",
            "postal_code": "450440008",
            "telephone_number": "513-631-4555",
            "fax_number": "513-631-5546"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIALYSIS ACCESS CENTER OF CINCINNATI, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "DIALYSIS ACCESS CENTER OF CINCINNATI, INC.",
        "enumeration_date": "2020-10-01",
        "last_updated": "2020-10-01",
        "certification_date": "2020-09-30",
        "status": "A",
        "authorized_official_last_name": "SAMAHA",
        "authorized_official_first_name": "ANTOINE",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "513-487-5305",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Liberty Township, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2020; 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.