Active NPI
Lavita Nephrology Consultants
- Nephrology Physician
- Westlake, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nephrology Physician
- Legal business name
- LAVITA NEPHROLOGY CONSULTANTS
- Doing business as
- LaVita Nephrology Consultants
- Practice address
- 25200 Center Ridge Rd Suite 2100
Westlake, OH 44145 - Phone
- (440) 331-5962
- Fax
- (440) 331-5914
- NPI assigned
- Feb 1, 2021
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Buthayna Alkhatib Dinary, MD
- Title
- Ceo
- Phone
- (440) 773-2987
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Nephrology Physician | 207RN0300X | Primary |
Addresses
Primary practice location
25200 Center Ridge Rd Suite 2100
Westlake, OH 44145
Mailing address
PO Box 451400
Westlake, OH 44145
Phone (440) 773-2987
Other names 1
- LaVita Nephrology Consultants
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
1160 E Broad St
Elyria, OH 44035
Phone (440) 365-1811
22710 Fairview Center Dr
Fairview Park, OH 44126
Phone (866) 571-6766
6735 Ames Rd
Parma, OH 44129
Phone (440) 743-0690
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.
-
- Nephrology Physician
- Westlake, OH
- NPI 1902245087
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1612137600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1612137600000",
"number": "1790376812",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 451400",
"city": "WESTLAKE",
"state": "OH",
"postal_code": "44145",
"telephone_number": "440-773-2987"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "25200 CENTER RIDGE RD SUITE 2100",
"city": "WESTLAKE",
"state": "OH",
"postal_code": "44145",
"telephone_number": "440-331-5962",
"fax_number": "440-331-5914"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LAVITA NEPHROLOGY CONSULTANTS",
"organizational_subpart": "NO",
"enumeration_date": "2021-02-01",
"last_updated": "2021-02-01",
"certification_date": "2021-01-31",
"status": "A",
"authorized_official_last_name": "DINARY",
"authorized_official_first_name": "BUTHAYNA",
"authorized_official_middle_name": "ALKHATIB",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "440-773-2987",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207RN0300X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine, Nephrology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "LaVita Nephrology Consultants",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Westlake, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2021; 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.