NPIMap

Organization Active NPI

Dialysis Access Specialists, LLC

  • Nephrology Physician
  • Christiansted, VI
National Provider Identifier
1841598596
Registry record updated May 3, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
1674 Issued in VI
Legal business name
DIALYSIS ACCESS SPECIALISTS, LLC
Practice address
5 Orange Grove
Christiansted, VI 00820
Phone
(340) 715-7720
Fax
(340) 713-9002
NPI assigned
Mar 4, 2011
Last updated
May 3, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 3, 2021

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

Authorized official

Name
Dr. Tasnim Khan, M.D.NPI 1841286374
Title
Director
Phone
(340) 715-7720

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 4

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X 1675 VI
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X 1674 VI
Nephrology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RN0300X 1675 VI
Nephrology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RN0300X 1674 VI Primary

Addresses

Primary practice location

5 Orange Grove
Christiansted, VI 00820

Mailing address

3004 Orange Grove
Suite 2
Christiansted, VI 00820-4288
Phone (340) 715-7720

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110531000422 VI Part B Supplier - Clinic/Group Practice 2163609181 Receives reassigned benefits from 3 practitioners
Practice locations: Christiansted, VI

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 5

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": "1299196800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1620000000000",
    "number": "1841598596",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3004 ORANGE GROVE",
            "address_2": "SUITE 2",
            "city": "CHRISTIANSTED",
            "state": "VI",
            "postal_code": "008204288",
            "telephone_number": "340-715-7720",
            "fax_number": "340-713-9002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 ORANGE GROVE",
            "city": "CHRISTIANSTED",
            "state": "VI",
            "postal_code": "00820",
            "telephone_number": "340-715-7720",
            "fax_number": "340-713-9002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIALYSIS ACCESS SPECIALISTS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-03-04",
        "last_updated": "2021-05-03",
        "certification_date": "2021-05-03",
        "status": "A",
        "authorized_official_last_name": "KHAN",
        "authorized_official_first_name": "TASNIM",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "340-715-7720",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "VI",
            "license": "1675",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "VI",
            "license": "1674",
            "primary": false
        },
        {
            "code": "207RN0300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Nephrology",
            "state": "VI",
            "license": "1675",
            "primary": false
        },
        {
            "code": "207RN0300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Nephrology",
            "state": "VI",
            "license": "1674",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Christiansted, VI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 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.

Verify at the official NPI Registry.