Park Terrace Dialysis, LLC

Primary specialty

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

Legal business name

PARK TERRACE DIALYSIS, LLC

Doing business as

Trilogy Dialysis - Park Terrace

Practice address

9700 Stonestreet Rd Ste B
Louisville, KY 40272-2884

Phone

(502) 678-4690

Fax

(502) 678-4691

NPI assigned

Oct 6, 2023

Organization subpart

Yes

Parent organization

TRILOGY INVESTORS, LLCAs reported in NPPES

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

Authorized official

Name

Cristina Pietrowski

Title

SVP & Chief Legal Officer

Phone

(502) 412-5847

Specialties & licenses 1

Addresses

Other names 1

• Trilogy Dialysis - Park Terrace Doing business as

Medicare fee-for-service enrollment

Enrolled in KY

Enrollment records 1

Listed as

Trilogy Dialysis-Park TerraceCCN 182658

Ownership

Profit

Certified

Apr 26, 2024

Medicare certification status

ActiveFrom the Provider of Services file

Dialysis stations

8

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Affiliated clinicians 1

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

• Ginius Pradhan, M.D.

  • Nephrology Physician
  • Louisville, KY
  • NPI 1952652307

  Dialysis facility

  Care Compare affiliation Name & address match

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

{
    "created_epoch": "1696550400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1701820800000",
    "number": "1689455669",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9700 STONESTREET RD STE B",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402722884"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9700 STONESTREET RD STE B",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402722884",
            "telephone_number": "502-678-4690",
            "fax_number": "502-678-4691"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PARK TERRACE DIALYSIS, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "TRILOGY INVESTORS, LLC",
        "enumeration_date": "2023-10-06",
        "last_updated": "2023-12-06",
        "certification_date": "2023-12-06",
        "status": "A",
        "authorized_official_last_name": "PIETROWSKI",
        "authorized_official_first_name": "CRISTINA",
        "authorized_official_title_or_position": "SVP & CHIEF LEGAL OFFICER",
        "authorized_official_telephone_number": "502-412-5847"
    },
    "taxonomies": [
        {
            "code": "261QE0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, End-Stage Renal Disease (ESRD) Treatment",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Trilogy Dialysis - Park Terrace",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Trilogy Dialysis - Park Terrace",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Park Duvalle Community Health Center, Inc (Park Duvalle at Pleasure Ridge Park Health Center)
• Park Duvalle Community Health Center, Inc.
• Park Duvalle Community Health Center, Inc. (Russell Neighborood Health Center)
• Euisoon Park Kang, PHARMACIST
• Park Louisville, LLC
• Angela Park
• Heyeon Park
• Rebecca Park, ATC
• Rosa Park, M.D.
• Erin Parker Redding, APRN

• 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 Dec 6, 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.