Active NPI
Dialyze Direct Ky, LLC
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Louisville, KY
National Provider Identifier
1659988970
On this page
Key facts
NPPES NPI Registry- Primary specialty
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Legal business name
- DIALYZE DIRECT KY, LLC
- Practice address
- 9780 Ormsby Station Rd Ste 1200
Louisville, KY 40223-4049 - Phone
- (732) 806-9990
- NPI assigned
- Sep 30, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Joshua Rothenberg
- Title
- Coo
- Phone
- (732) 806-9990
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| End-Stage Renal Disease (ESRD) Treatment Clinic/Center | 261QE0700X | Primary |
Addresses
Primary practice location
9780 Ormsby Station Rd Ste 1200
Louisville, KY 40223-4049
Mailing address
3297 State Route 66
Neptune, NJ 07753-2762
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KY
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20201104001776 | KY | Part A Provider - End-Stage Renal Disease Facility (ESRD) | 8628488525 | Practice locations: Louisville, KY |
Care Compare: Dialysis facility
Medicare Care Compare- Listed as
- Dialyze Direct Louisville, KY
- Ownership
- Profit
- Certified
- Jan 21, 2021
- Medicare certification status
- Active
- Chain
- Other
- Dialysis stations
- 10
Name & address match This facility record has no NPI; it was connected to this NPI by matching name and address.
National Provider Directory
National Provider DirectoryLocations
9780 Ormsby Station Rd
Ste 1200
Louisville, KY 40223
Phone (502) 425-6021
9780 Ormsby Station Rd
Louisville, KY 40223
Practitioners & affiliated clinicians
Affiliated clinicians 7
Clinicians who list this facility as an affiliation in Medicare Care Compare.
-
- Nephrology Physician
- Louisville, KY
- NPI 1487979456
Dialysis facility
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1601424000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1601424000000",
"number": "1659988970",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3297 STATE ROUTE 66",
"city": "NEPTUNE",
"state": "NJ",
"postal_code": "077532762"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9780 ORMSBY STATION RD STE 1200",
"city": "LOUISVILLE",
"state": "KY",
"postal_code": "402234049",
"telephone_number": "732-806-9990"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DIALYZE DIRECT KY, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2020-09-30",
"last_updated": "2020-09-30",
"certification_date": "2020-09-30",
"status": "A",
"authorized_official_last_name": "ROTHENBERG",
"authorized_official_first_name": "JOSHUA",
"authorized_official_title_or_position": "COO",
"authorized_official_telephone_number": "732-806-9990"
},
"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 Louisville, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2020; 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.