Dialysis Access Specialists, LLC
Organization Active NPI Nephrology Physician · Christiansted, VI
NPI 1841598596 · NPPES record last updated May 3, 2021
Key facts
- NPI
- 1841598596
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Nephrology Physician 207RN0300X
- License
- 1674 (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
- Organization subpart
- No
Authorized official
- Name
- Dr. Tasnim Khan, M.D.
- Title
- Director
- Phone
- (340) 715-7720
Practitioners 5
-
Tasnim Khan, M.D.
-
Jan B Tawakol, M.D.
-
Jan L Powell, ARNP
-
Aaron Boswell, FNP
-
Lisa Gay, FNP
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in VI
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20110531000422 | VI | Part B Supplier - Clinic/Group Practice | 2163609181 |
Receives reassigned benefits from 3 practitioners Practice locations: Christiansted, VI |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician |
207R00000X | 1675 | VI | |
| Internal Medicine Physician |
207R00000X | 1674 | VI | |
| Nephrology Physician |
207RN0300X | 1675 | VI | |
| Nephrology Physician |
207RN0300X | 1674 | VI | Yes |
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
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1674 | Other | VI | VIRGIN ISLANDS DEPARTMENT OF HEALTH |
| 1675 | Other | VI | VI DEPARTMENT OF HEALTH |
| 1841598596 | Medicaid | VI |
Other providers in Christiansted, VI
- Department of Health, EMS STX
- Department of Health, Govt of the Virgin Island, Dental Public Helath
- Dept of Health, Government of the Virgin Islands
- Alijah Deterville
- Diabetic Institute
- Diamond Pharmacy LLC
- Kristen Dixon
- Michelle Dizon
- Dr. Marshall'S Consulting Services, LLC
- Duanne W Jones II DDS Inc
All providers in Christiansted, VI · Nephrology Physician in U.S. Virgin Islands
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 3, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.