Concerto Minnesota LLC

Primary specialty

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

Legal business name

CONCERTO MINNESOTA LLC

Practice address

3401 Wooddale Ave S Ste B
St Louis Park, MN 55416-2341

Phone

(847) 233-1200

Fax

(847) 443-1328

NPI assigned

Feb 6, 2018

Last updated

Apr 1, 2024By 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

Shimon Meystel

Title

Manager

Phone

(847) 233-1202

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MN

Enrollment records 1

Listed as

Concerto Minnesota LLCCCN 242702

Ownership

Profit

Certified

Dec 19, 2024

Medicare certification status

ActiveFrom the Provider of Services file

Dialysis stations

2

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

CLIA laboratory certificates

Locations

Affiliated clinicians 3

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

• Andrew Esten, M.D.

  • Nephrology Physician
  • Minneapolis, MN
  • NPI 1558689778

  Dialysis facility

  Care Compare affiliation Name & address match
• Brett W Nyholm, M.D.

  • Nephrology Physician
  • Brooklyn Center, MN
  • NPI 1255305355

  Dialysis facility

  Care Compare affiliation Name & address match
• Orvin Patrick Ochoa Visaya, M.D.

  • Nephrology Physician
  • Brooklyn Center, MN
  • NPI 1235156118

  Dialysis facility

  Care Compare affiliation Name & address match

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

{
    "created_epoch": "1517875200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1711929600000",
    "number": "1871092858",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4600 W TOUHY AVE",
            "city": "LINCOLNWOOD",
            "state": "IL",
            "postal_code": "607121606",
            "telephone_number": "847-233-1202",
            "fax_number": "847-233-1302"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3401 WOODDALE AVE S STE B",
            "city": "ST LOUIS PARK",
            "state": "MN",
            "postal_code": "554162341",
            "telephone_number": "847-233-1200",
            "fax_number": "847-443-1328"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CONCERTO MINNESOTA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-02-06",
        "last_updated": "2024-04-01",
        "certification_date": "2024-04-01",
        "status": "A",
        "authorized_official_last_name": "MEYSTEL",
        "authorized_official_first_name": "SHIMON",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "847-233-1202"
    },
    "taxonomies": [
        {
            "code": "261QE0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, End-Stage Renal Disease (ESRD) Treatment",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stefan Philip Collinet-Adler, MD
• Elizabeth Kelly Collins, MD
• Nancy M Collins, MD
• Renee B Compo, WHNP
• Erwin E Concepcion, PH.D.
• Rebecca Condon
• John Conely, MD
• Brianna Jean Conklin
• Christopher Conley, LMFT
• Kellie Conn

• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in St Louis Park, MN
• Providers in St Louis Park, MN by specialty
• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2024; 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.