Dialyze Direct Ky, LLC

Primary specialty

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

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

Last updated

Sep 30, 2020By 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

Joshua Rothenberg

Title

Coo

Phone

(732) 806-9990

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in KY

Enrollment records 1

Listed as

Dialyze Direct Louisville, KYCCN 182646

Ownership

Profit

Certified

Jan 21, 2021

Medicare certification status

ActiveFrom the Provider of Services file

Chain

Other

Dialysis stations

10

Locations

Affiliated clinicians 7

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

• Shafic Abdul Wahab El Hindi, M.D.

  • Nephrology Physician
  • Louisville, KY
  • NPI 1487979456

  Dialysis facility

  Care Compare affiliation Name & address match
• Rizwan Akhtar, M.D.

  • Nephrology Physician
  • Richmond, KY
  • NPI 1669695649

  Dialysis facility

  Care Compare affiliation Name & address match
• Jai P Bhimani, MD

  • Nephrology Physician
  • Louisville, KY
  • NPI 1851326128

  Dialysis facility

  Care Compare affiliation Name & address match
• Rezkalla Butros, MD

  • Internal Medicine Physician
  • Mt Sterling, KY
  • NPI 1023037082

  Dialysis facility

  Care Compare affiliation Name & address match
• Aziz Nicolas Chami, M.D.

  • Nephrology Physician
  • Louisville, KY
  • NPI 1578672507

  Dialysis facility

  Care Compare affiliation Name & address match
• Boutros Nasri El-Haddad, MD

  • Nephrology Physician
  • Louisville, KY
  • NPI 1710103080

  Dialysis facility

  Care Compare affiliation Name & address match
• Ramsey Nasri Nassar, MD

  • Nephrology Physician
  • Louisville, KY
  • NPI 1003810938

  Dialysis facility

  Care Compare affiliation Name & address match

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": []
}

• Diagnostic Imaging Alliance of Louisville PSC
• Diagnostic Medical Imaging Associates, PSC. (Dmia)
• Diagnostic X-Ray Physicians, PSC
• Kimberly R Dial
• Dialysis Newco Inc (DSI Louisville Renal Center)
• Diamond Heart Home Care
• Harvey M Diamond, MD
• Diana, Inc. (St. Matthews Hearing Center)
• Diane Rennirt MD, PLLC
• Robert Anthony Diasio, MD

• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Louisville, KY
• Providers in Louisville, KY by specialty
• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Kentucky

• 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.

Verify at the official NPI Registry.