Ochsner Kidney Care LLC

Primary specialty

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

Legal business name

OCHSNER KIDNEY CARE LLC

Practice address

4300 W Esplanade Ave
Metairie, LA 70006-2918

Phone

(504) 290-8210

Fax

(504) 290-8211

NPI assigned

Apr 2, 2021

Last updated

Apr 2, 2021By 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

Jessica Jones

Title

Sr Vice President

Phone

(562) 421-2690

Specialties & licenses 1

Addresses

Other names 1

• OCHSNER KIDNEY CARE - METAIRIE Other name

Medicare fee-for-service enrollment

Enrolled in LA

Enrollment records 1

Other NPIs with the same Medicare PAC ID 3

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

• Ochsner Kidney Care LLC

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • New Orleans, LA
  • NPI 1104408095

  3577963867

  Same PAC ID
• Ochsner Kidney Care LLC

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Jefferson, LA
  • NPI 1184209900

  3577963867

  Same PAC ID
• Ochsner Kidney Care LLC

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Marrero, LA
  • NPI 1447839055

  3577963867

  Same PAC ID

Listed as

Ochsner Kidney Care - MetairieCCN 192762

Overall star rating

4.0 of 5

Ownership

Profit

Certified

Dec 29, 2021

Medicare certification status

ActiveFrom the Provider of Services file

Dialysis stations

15

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

Ochsner Dialysis Algiers5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

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

• Ochsner Kidney Care LLC

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Kenner, LA
  • NPI 1104405729
  NPD tax ID
• Ochsner Kidney Care LLC

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • New Orleans, LA
  • NPI 1104408095
  NPD tax ID
• Ochsner Kidney Care LLC

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Jefferson, LA
  • NPI 1184209900
  NPD tax ID
• Ochsner Kidney Care LLC

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Marrero, LA
  • NPI 1447839055
  NPD tax ID

Member of 1

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

• Ochsner Pharmacy and Wellness, LLC

  dba Ochsner Pharmacy and Wellness - Main Campus Atrium

  • Clinic Pharmacy
  • New Orleans, LA
  • NPI 1518073824

  Member Of

  NPD member

Locations

Affiliated clinicians 1

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

• Shirisha Bodana, D.O.

  • Nephrology Physician
  • New Orleans, LA
  • NPI 1770794067

  Dialysis facility

  Care Compare affiliation Name & address match

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

{
    "created_epoch": "1617321600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1617321600000",
    "number": "1609455211",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4000 COVER ST STE 100",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908081790",
            "telephone_number": "562-421-2690",
            "fax_number": "562-453-0677"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4300 W ESPLANADE AVE",
            "city": "METAIRIE",
            "state": "LA",
            "postal_code": "700062918",
            "telephone_number": "504-290-8210",
            "fax_number": "504-290-8211"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OCHSNER KIDNEY CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-04-02",
        "last_updated": "2021-04-02",
        "certification_date": "2021-04-02",
        "status": "A",
        "authorized_official_last_name": "JONES",
        "authorized_official_first_name": "JESSICA",
        "authorized_official_title_or_position": "SR VICE PRESIDENT",
        "authorized_official_telephone_number": "562-421-2690"
    },
    "taxonomies": [
        {
            "code": "261QE0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, End-Stage Renal Disease (ESRD) Treatment",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "OCHSNER KIDNEY CARE - METAIRIE",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Jessica Coller Ochsner, MD
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• Samantha Audrey Odmark
• Jamie L Odom

• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Metairie, LA
• Providers in Metairie, LA by specialty
• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2021; 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.