Little Rock Renal Services LLC

Primary specialty

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

Legal business name

LITTLE ROCK RENAL SERVICES LLC

Practice address

1910 John Barrow Rd
Little Rock, AR 72204-1448

Phone

(501) 227-0983

Fax

(501) 227-0974

NPI assigned

Feb 19, 2014

Organization subpart

No

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

Authorized official

Name

William E Wood II

Title

President of Member

Phone

(615) 327-3061

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AR

Enrollment records 1

Listed as

Dci - Little Rock Renal Services LLCCCN 042592

Overall star rating

2.0 of 5

Ownership

Non-profit

Certified

Oct 20, 2015

Medicare certification status

ActiveFrom the Provider of Services file

Chain

Dialysis Clinic, Inc.

Dialysis stations

18

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

CLIA laboratory certificates

Member of 2

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

• University of Arkansas for Medical Sciences

  • General Practice Dentistry
  • Little Rock, AR
  • NPI 1760843247

  Member Of

  NPD member
• Dialysis Clinic Inc.

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Brownsville, TN
  • NPI 1013940493

  Member Of

  NPD member

Locations

Affiliated clinicians 3

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

• Nithin Karakala, MD

  • Nephrology Physician
  • Little Rock, AR
  • NPI 1639356827

  Dialysis facility

  Care Compare affiliation Name & address match
• Michelle Krause, MD

  • Nephrology Physician
  • Little Rock, AR
  • NPI 1639269111

  Dialysis facility

  Care Compare affiliation Name & address match
• Manisha Singh, M.D.

  • Internal Medicine Physician
  • Little Rock, AR
  • NPI 1831410356

  Dialysis facility

  Care Compare affiliation Name & address match

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

{
    "created_epoch": "1392768000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1563148800000",
    "number": "1609291202",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1633 CHURCH ST",
            "address_2": "SUITE 500",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372032990",
            "telephone_number": "615-327-3061",
            "fax_number": "615-329-2513"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1910 JOHN BARROW RD",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722041448",
            "telephone_number": "501-227-0983",
            "fax_number": "501-227-0974"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LITTLE ROCK RENAL SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-02-19",
        "last_updated": "2019-07-15",
        "status": "A",
        "authorized_official_last_name": "WOOD",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "PRESIDENT OF MEMBER",
        "authorized_official_telephone_number": "615-327-3061",
        "authorized_official_name_suffix": "II"
    },
    "taxonomies": [
        {
            "code": "261QE0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, End-Stage Renal Disease (ESRD) Treatment",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Little Rock Physical Medicine and Rehablitation
• Little Rock Plastic Surgery, PA
• Little Rock Preparatory Academy
• Little Rock Prosthetics Inc.
• Little Rock Recovery Outreach
• Little Rock Respiratory
• Little Rock Rheumatology Clinic PA
• Little Rock School Districet
• Little Rock School District
• Little Rock Surgery Center, LLC

• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Little Rock, AR
• Providers in 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 Jul 15, 2019; 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.