Flint Hills Dialysis, LLC

Primary specialty

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

License

418000 Issued in KS

Legal business name

FLINT HILLS DIALYSIS, LLC

Practice address

1133 College Ave
Building B, Suite 266
Manhattan, KS 66502-2770

Phone

(785) 565-9500

Fax

(785) 565-9595

NPI assigned

Jul 2, 2009

Last updated

Aug 30, 2016By 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

Dr. Fadi Victor Bedros, MDNPI 1407893290

Title

President

Phone

(785) 250-4808

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in KS

Enrollment records 1

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

• Flint Hills Dialysis LLC

  dba Flint Hills Dialysis of Marysville

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Marysville, KS
  • NPI 1659640134

  2769538651

  Same PAC ID

Listed as

Flint Hills Dialysis LLCCCN 172517

Overall star rating

4.0 of 5

Ownership

Profit

Certified

Sep 2, 1992

Medicare certification status

ActiveFrom the Provider of Services file

Dialysis stations

19

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

CLIA laboratory certificates

Tax ID family

Flint Hills Dialysis LLC3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

• Flint Hills Dialysis LLC

  dba Flint Hills Dialysis of Marysville

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Marysville, KS
  • NPI 1659640134
  NPD tax ID
• Flint Hills Dialysis of Junction City

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Junction City, KS
  • NPI 1184008856
  NPD tax ID

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.

• Fadi V Bedros, M.D.

  • Nephrology Physician
  • Manhattan, KS
  • NPI 1407893290
  Authorized official Same address or phone

Affiliated clinicians 1

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

• Fadi V Bedros, M.D.

  • Nephrology Physician
  • Manhattan, KS
  • NPI 1407893290

  Dialysis facility

  Care Compare affiliation Name & address match

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

{
    "created_epoch": "1246492800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1472515200000",
    "number": "1881823516",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1133 COLLEGE AVE",
            "address_2": "BUILDING B, SUITE 266",
            "city": "MANHATTAN",
            "state": "KS",
            "postal_code": "665022770",
            "telephone_number": "785-565-9500",
            "fax_number": "785-565-9595"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1133 COLLEGE AVE",
            "address_2": "BUILDING B, SUITE 266",
            "city": "MANHATTAN",
            "state": "KS",
            "postal_code": "665022770",
            "telephone_number": "785-565-9500",
            "fax_number": "785-565-9595"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FLINT HILLS DIALYSIS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-07-02",
        "last_updated": "2016-08-30",
        "status": "A",
        "authorized_official_last_name": "BEDROS",
        "authorized_official_first_name": "FADI",
        "authorized_official_middle_name": "VICTOR",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "785-250-4808",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QE0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, End-Stage Renal Disease (ESRD) Treatment",
            "state": "KS",
            "license": "418000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kenna Fischman, MD
• Louann Fisher, CRNA
• Monica Lynn Fisher, PA
• Rebecca Fitzgerald, ATC
• Alexis Mae Fletcher, PT, DPT
• Flint Hills Family Chiropractic, LLC
• Flint Hills Heart Vascular and Vein Clinic, LLC
• Flint Hills Neuropsychology, LLC
• Flint Hills Pain Management PA
• Flint Hills Podiatry PA

• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Manhattan, KS
• Providers in Manhattan, KS by specialty
• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 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.