Organization Active NPI

Freedom Dialysis Inc

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Missouri City, TX
National Provider Identifier
1689026775
Registry record updated May 31, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
End-Stage Renal Disease (ESRD) Treatment Clinic/CenterTaxonomy code 261QE0700X
Legal business name
FREEDOM DIALYSIS INC
Practice address
7746 Highway 6 Ste C
Missouri City, TX 77459-4778
Phone
(212) 300-3484
NPI assigned
Jul 13, 2016
Last updated
May 31, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 31, 2023

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

Authorized official

Name
Dr. Manaf Alroumoh, MDNPI 1548350614
Title
Ceo
Phone
(212) 300-3484

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

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

Addresses

Primary practice location

7746 Highway 6 Ste C
Missouri City, TX 77459-4778

Mailing address

7746 Highway 6 Ste C
Missouri City, TX 77459-4778
Phone (212) 300-3484

Other identifiers 2

IdentifierTypeStateIssuer
67-2898OtherTXMEDICARE
3975757-01MedicaidTX

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20170706001332 TX Part A Provider - End-Stage Renal Disease Facility (ESRD) 7012286057 Practice locations: Missouri City, TX

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1468368000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1685491200000",
    "number": "1689026775",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7746 HIGHWAY 6 STE C",
            "city": "MISSOURI CITY",
            "state": "TX",
            "postal_code": "774594778",
            "telephone_number": "212-300-3484"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7746 HIGHWAY 6 STE C",
            "city": "MISSOURI CITY",
            "state": "TX",
            "postal_code": "774594778",
            "telephone_number": "212-300-3484"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FREEDOM DIALYSIS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-07-13",
        "last_updated": "2023-05-31",
        "certification_date": "2023-05-31",
        "status": "A",
        "authorized_official_last_name": "ALROUMOH",
        "authorized_official_first_name": "MANAF",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "212-300-3484",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "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": "MEDICARE",
            "identifier": "67-2898",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3975757-01",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Missouri City, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.