Organization Active NPI

Twinstar Dialysis LLC

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Gatesville, TX
National Provider Identifier
1679950844
Registry record updated Mar 17, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
End-Stage Renal Disease (ESRD) Treatment Clinic/CenterTaxonomy code 261QE0700X
Legal business name
TWINSTAR DIALYSIS LLC
Practice address
224 Memorial Dr
Gatesville, TX 76528-1071
Phone
(254) 404-2090
Fax
(254) 404-2479
NPI assigned
Apr 27, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2023

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

Authorized official

Name
Kenneth Poston
Title
Secretary
Phone
(254) 865-8251

Specialties & licenses 1

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

Addresses

Primary practice location

224 Memorial Dr
Gatesville, TX 76528-1071

Mailing address

224 Memorial Dr
Gatesville, TX 76528-1071
Phone (254) 404-2090

Other identifiers 2

IdentifierTypeStateIssuer
110349OtherTXSTATE LICENSE
366300701MedicaidTX

Other names 1

  • Coryell Dialysis Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20150810001558 TX Part A Provider - End-Stage Renal Disease Facility (ESRD) 9032424726 Practice locations: Gatesville, TX

Care Compare: Dialysis facility

Medicare Care Compare
Listed as
Coryell DialysisCCN 672796
Overall star rating
3.0 of 5
Ownership
Profit
Certified
Nov 7, 2016
Medicare certification status
ActiveFrom the Provider of Services file
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
45D2097843Coryell Dialysis224 Memorial Drive, Gatesville, TX 76528Certificate of waiverJun 23, 2027

National Provider Directory

National Provider Directory

Member of 1

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

Locations

224 Memorial Dr
Gatesville, TX 76528
Phone (254) 248-6265

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

Affiliated clinicians 1

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": "1430092800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1679011200000",
    "number": "1679950844",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "224 MEMORIAL DR",
            "city": "GATESVILLE",
            "state": "TX",
            "postal_code": "765281071",
            "telephone_number": "254-404-2090"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "224 MEMORIAL DR",
            "city": "GATESVILLE",
            "state": "TX",
            "postal_code": "765281071",
            "telephone_number": "254-404-2090",
            "fax_number": "254-404-2479"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TWINSTAR DIALYSIS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-04-27",
        "last_updated": "2023-03-17",
        "certification_date": "2023-03-17",
        "status": "A",
        "authorized_official_last_name": "POSTON",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_title_or_position": "SECRETARY",
        "authorized_official_telephone_number": "254-865-8251"
    },
    "taxonomies": [
        {
            "code": "261QE0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, End-Stage Renal Disease (ESRD) Treatment",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "110349",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "366300701",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Coryell Dialysis",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Coryell Dialysis",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Gatesville, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2023; 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.