NPIMap

Organization Active NPI

Community Dialysis Center

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Beachwood, OH
National Provider Identifier
1619102795
Registry record updated Mar 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
End-Stage Renal Disease (ESRD) Treatment Clinic/CenterTaxonomy code 261QE0700X
License
PENDING Issued in OH
Legal business name
COMMUNITY DIALYSIS CENTER
Practice address
27350 Cedar Rd
Beachwood, OH 44122-1110
Phone
(216) 378-1580
Fax
(216) 378-1474
NPI assigned
May 19, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 3, 2025

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

Authorized official

Name
Gayle A Nemecek
Title
Coo
Phone
(216) 658-0458

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
End-Stage Renal Disease (ESRD) Treatment Clinic/Center 261QE0700X PENDING OH Primary

Addresses

Primary practice location

27350 Cedar Rd
Beachwood, OH 44122-1110

Mailing address

18720 Chagrin Blvd
Shaker Heights, OH 44122-4855
Phone (216) 295-7003

Other identifiers 1

IdentifierTypeStateIssuer
3060780MedicaidOH

Other names 1

  • Center for Dialysis Care, Beachwood Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090618000676 OH Part A Provider - End-Stage Renal Disease Facility (ESRD) 2264486083 Practice locations: Beachwood, OH

Other NPIs with the same Medicare PAC ID 4

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

Care Compare: Dialysis facility

Medicare Care Compare
Listed as
Center for Dialysis Care, BeachwoodCCN 362758
Overall star rating
3.0 of 5
Ownership
Profit
Certified
Apr 7, 2010
Medicare certification status
ActiveFrom the Provider of Services file
Chain
Centers for Dialysis Care
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
36D1100621Center for Dialysis Care Beachwood27350 Cedar Road, Beachwood, OH 44122Certificate of waiverJun 8, 2027

National Provider Directory

National Provider Directory
Tax ID family
Community Dialysis Center5 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.

Practitioners & affiliated clinicians

Affiliated clinicians 5

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": "1242691200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1740960000000",
    "number": "1619102795",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18720 CHAGRIN BLVD",
            "city": "SHAKER HEIGHTS",
            "state": "OH",
            "postal_code": "441224855",
            "telephone_number": "216-295-7003",
            "fax_number": "216-295-7014"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27350 CEDAR RD",
            "city": "BEACHWOOD",
            "state": "OH",
            "postal_code": "441221110",
            "telephone_number": "216-378-1580",
            "fax_number": "216-378-1474"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMUNITY DIALYSIS CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-05-19",
        "last_updated": "2025-03-03",
        "certification_date": "2025-03-03",
        "status": "A",
        "authorized_official_last_name": "NEMECEK",
        "authorized_official_first_name": "GAYLE",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "216-658-0458"
    },
    "taxonomies": [
        {
            "code": "261QE0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, End-Stage Renal Disease (ESRD) Treatment",
            "state": "OH",
            "license": "PENDING",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3060780",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Center for Dialysis Care, Beachwood",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Beachwood, OH

Sources for this page

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