Dsi Altus, LLC

Primary specialty

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

Legal business name

DSI ALTUS, LLC

Doing business as

U.S. Renal Care Altus Dialysis

Practice address

1401 E Broadway St
Altus, OK 73521-5705

Phone

(615) 234-0951

NPI assigned

Dec 9, 2013

Last updated

Feb 15, 2016By the provider in NPPES

Organization subpart

Yes

Parent organization

U.S. RENAL CARE, INC.As reported in NPPES

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

Authorized official

Name

Thomas L. Weinberg

Title

Authorized Official

Phone

(214) 736-2700

Specialties & licenses 1

Addresses

Other names 1

• U.S. Renal Care Altus Dialysis Doing business as

Medicare fee-for-service enrollment

Enrolled in OK

Enrollment records 1

Listed as

Usrc AltusCCN 372598

Overall star rating

3.0 of 5

Ownership

Profit

Certified

Sep 11, 2014

Medicare certification status

ActiveFrom the Provider of Services file

Chain

Diversified Specialty Institutes (DSI)

Dialysis stations

13

Part of

US Renal Care Inc

Member of 1

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

• Dialysis Newco LLC

  dba U.S. Renal Care Bryan Dialysis

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Bryan, TX
  • NPI 1578839080

  Member Of

  NPD member

Affiliated clinicians 3

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

• Joe Ghata, MD

  • Nephrology Physician
  • Oklahoma City, OK
  • NPI 1215258017

  Dialysis facility

  Care Compare affiliation Name & address match
• Chinedu O Nwachukwu, MD

  • Nephrology Physician
  • Lawton, OK
  • NPI 1205312253

  Dialysis facility

  Care Compare affiliation Name & address match
• Magdalena Barbara Sikora, M.D.

  • Nephrology Physician
  • Lawton, OK
  • NPI 1598896110

  Dialysis facility

  Care Compare affiliation Name & address match

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

{
    "created_epoch": "1386547200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1455494400000",
    "number": "1841621356",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "424 CHURCH ST",
            "address_2": "SUITE 1900",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372192301",
            "telephone_number": "615-777-8200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1401 E BROADWAY ST",
            "city": "ALTUS",
            "state": "OK",
            "postal_code": "735215705",
            "telephone_number": "615-234-0951"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DSI ALTUS, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "U.S. RENAL CARE, INC.",
        "enumeration_date": "2013-12-09",
        "last_updated": "2016-02-15",
        "status": "A",
        "authorized_official_last_name": "WEINBERG",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "214-736-2700"
    },
    "taxonomies": [
        {
            "code": "261QE0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, End-Stage Renal Disease (ESRD) Treatment",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "U.S. Renal Care Altus Dialysis",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• April M Dill, M.ED, LPC
• Jera Diltz
• Andrew James Dimond, PH.D.
• Jennifer Michelle Dohlman, MS, NCC, LPC
• Corrie Suzanne Driggers Gossett, FNP
• Jeffrey A. Duncan, D.O.
• Kelley K Duncan, OT
• Jennifer J Earls, PHARMD
• Katrina L Ellis, LPC
• Mary Estes

• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Altus, OK
• Providers in Altus, OK by specialty
• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2016; 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.