Croskee Dialysis LLC

Primary specialty

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

Legal business name

CROSKEE DIALYSIS LLC

Doing business as

City Center Dialysis

Practice address

10405 Katy Fwy Ste 140
Houston, TX 77024-1165

Phone

(713) 647-0641

Fax

(713) 647-0620

NPI assigned

Jun 6, 2016

Last updated

Mar 22, 2023By 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

John Wnstel

Title

Chief Accounting Officer

Phone

(253) 733-4501

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• City Center Dialysis Doing business as

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Listed as

DaVita City Center DialysisCCN 672862

Overall star rating

3.0 of 5

Ownership

Profit

Certified

Apr 23, 2018

Medicare certification status

ActiveFrom the Provider of Services file

Chain

DaVita

Dialysis stations

24

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

CLIA laboratory certificates

Member of 1

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

• Renal Treatment Centers-Southeast, LP.

  dba Barbour County Dialysis

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Eufaula, AL
  • NPI 1326583188

  Member Of

  NPD member

Locations

Affiliated clinicians 3

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

• Rupinder K Chatha, M.D.

  • Nephrology Physician
  • Houston, TX
  • NPI 1700856648

  Dialysis facility

  Care Compare affiliation Name & address match
• Rahul Prakash, MD

  • Nephrology Physician
  • Katy, TX
  • NPI 1902846108

  Dialysis facility

  Care Compare affiliation Name & address match
• Ariel M Velasco, M.D.

  • Nephrology Physician
  • Houston, TX
  • NPI 1851361703

  Dialysis facility

  Care Compare affiliation Name & address match

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

{
    "created_epoch": "1465171200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1679443200000",
    "number": "1760831341",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5200 VIRGINIA WAY",
            "address_2": "L&C DEPT",
            "city": "BRENTWOOD",
            "state": "TN",
            "postal_code": "370277569",
            "telephone_number": "615-320-4224",
            "fax_number": "800-293-4707"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10405 KATY FWY STE 140",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770241165",
            "telephone_number": "713-647-0641",
            "fax_number": "713-647-0620"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CROSKEE DIALYSIS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-06-06",
        "last_updated": "2023-03-22",
        "certification_date": "2023-03-22",
        "status": "A",
        "authorized_official_last_name": "WNSTEL",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "CHIEF ACCOUNTING OFFICER",
        "authorized_official_telephone_number": "253-733-4501"
    },
    "taxonomies": [
        {
            "code": "261QE0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, End-Stage Renal Disease (ESRD) Treatment",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3790776-02",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "City Center Dialysis",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "City Center Dialysis",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Crosby Medical Group (IntiMate Health)
• Laura Crosby, LPC
• Megan Gravois Crosby, BCBA
• Morgen Crosby
• Shanon Crosby
• Cross Love Homecare LLC
• Bridget Kathleen Cross, NP
• Corlette Dyouth Cross
• Douglas E. Cross Sr., LCDC
• Genesis Marie Cross, NONE

• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Houston, TX
• Providers in Houston, TX by specialty
• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 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.