Flint Hills Dialysis LLC

Primary specialty

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

Legal business name

FLINT HILLS DIALYSIS LLC

Doing business as

Flint Hills Dialysis of Marysville

Practice address

708 N 18TH St
South Plaza
Marysville, KS 66508-1338

Phone

(785) 565-9500

Fax

(785) 565-9595

NPI assigned

Dec 29, 2011

Last updated

Sep 19, 2016By 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

Dr. Fadi V Bedros, MDNPI 1407893290

Title

Owner

Phone

(785) 565-9500

Specialties & licenses 1

Addresses

Other names 1

• FLINT HILLS DIALYSIS OF MARYSVILLE Doing business as

Medicare fee-for-service enrollment

Enrolled in KS

Enrollment records 1

Other NPIs with the same Medicare PAC ID 1

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

• Flint Hills Dialysis, LLC

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Manhattan, KS
  • NPI 1881823516

  2769538651

  Same PAC ID

Listed as

Flint Hills Dialysis of MarysvilleCCN 172556

Ownership

Profit

Certified

Apr 29, 2013

Medicare certification status

ActiveFrom the Provider of Services file

Dialysis stations

6

Tax ID family

Flint Hills Dialysis LLC3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

• Flint Hills Dialysis of Junction City

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Junction City, KS
  • NPI 1184008856
  NPD tax ID
• Flint Hills Dialysis, LLC

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Manhattan, KS
  • NPI 1881823516
  NPD tax ID

Practitioners 1

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.

• Fadi V Bedros, M.D.

  • Nephrology Physician
  • Manhattan, KS
  • NPI 1407893290
  NPD (past) Authorized official

Affiliated clinicians 1

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

• Fadi V Bedros, M.D.

  • Nephrology Physician
  • Manhattan, KS
  • NPI 1407893290

  Dialysis facility

  Care Compare affiliation Name & address match

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

{
    "created_epoch": "1325116800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1474243200000",
    "number": "1659640134",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1133 COLLEGE AVE",
            "address_2": "BUILDING B, SUITE 266",
            "city": "MANHATTAN",
            "state": "KS",
            "postal_code": "665022770",
            "telephone_number": "785-565-9500",
            "fax_number": "785-565-9595"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "708 N 18TH ST",
            "address_2": "SOUTH PLAZA",
            "city": "MARYSVILLE",
            "state": "KS",
            "postal_code": "665081338",
            "telephone_number": "785-565-9500",
            "fax_number": "785-565-9595"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FLINT HILLS DIALYSIS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-12-29",
        "last_updated": "2016-09-19",
        "status": "A",
        "authorized_official_last_name": "BEDROS",
        "authorized_official_first_name": "FADI",
        "authorized_official_middle_name": "V",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "785-565-9500",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QE0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, End-Stage Renal Disease (ESRD) Treatment",
            "state": "KS",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "FLINT HILLS DIALYSIS OF MARYSVILLE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Mandi Diederich, PA-C
• Dr. Stanley J. Nelson
• DRS Price Young Odle & Horsch PA (The EyeDoctors)
• Charis Dunlap, PHARMD
• Steven Eshelman, MD
• Michael Scott Frank, DC
• Darek Eugene Funk, D.C.
• Jill Lavonne Gray, D.D.S.
• John A Haefele, M.D.
• David L Hamel, DDS

• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Marysville, KS
• Providers in Marysville, KS by specialty
• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2016; 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.