Organization Active NPI

Coastal Dialysis Center, LLC

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Jupiter, FL
National Provider Identifier
1588920870
Registry record updated Sep 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
End-Stage Renal Disease (ESRD) Treatment Clinic/CenterTaxonomy code 261QE0700X
Legal business name
COASTAL DIALYSIS CENTER, LLC
Practice address
641 University Blvd Ste 209
Jupiter, FL 33458-2794
Phone
(561) 253-8121
NPI assigned
Apr 11, 2012
Last updated
Sep 3, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 3, 2025

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

Authorized official

Name
Abbas Rabiei, MDNPI 1447242268
Title
President
Phone
(561) 557-1704

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
End-Stage Renal Disease (ESRD) Treatment Clinic/Center 261QE0700X Primary

Addresses

Primary practice location

641 University Blvd Ste 209
Jupiter, FL 33458-2794

Mailing address

641 University Blvd Ste 209
Jupiter, FL 33458-2794
Phone (561) 557-1704

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120926000475 FL Part A Provider - End-Stage Renal Disease Facility (ESRD) 9739338310 Practice locations: Jupiter, FL

Care Compare: Dialysis facility

Medicare Care Compare
Listed as
Coastal Dialysis Center, LLCCCN 682539
Overall star rating
3.0 of 5
Ownership
Profit
Certified
Jun 26, 2013
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
10D2042406Coastal Dialysis Center641 University Blvd Ste 209, Jupiter, FL 33458Certificate of waiverJun 12, 2028

National Provider Directory

National Provider Directory

Locations

641 University Blvd
Ste 209
Jupiter, FL 33458
Phone (561) 253-8121

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": "1334102400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1756857600000",
    "number": "1588920870",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "641 UNIVERSITY BLVD STE 209",
            "city": "JUPITER",
            "state": "FL",
            "postal_code": "334582794",
            "telephone_number": "561-557-1704"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "641 UNIVERSITY BLVD STE 209",
            "city": "JUPITER",
            "state": "FL",
            "postal_code": "334582794",
            "telephone_number": "561-253-8121"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COASTAL DIALYSIS CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-04-11",
        "last_updated": "2025-09-03",
        "certification_date": "2025-09-03",
        "status": "A",
        "authorized_official_last_name": "RABIEI",
        "authorized_official_first_name": "ABBAS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "561-557-1704",
        "authorized_official_credential": "MD"
    },
    "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 Jupiter, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2025; 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.