Optimal Dialysis

Primary specialty

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

Legal business name

OPTIMAL DIALYSIS

Practice address

8315 E 56TH St Ste 120
Indianapolis, IN 46216-1078

Phone

(317) 777-0224

NPI assigned

Jul 30, 2020

Organization subpart

No

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

Authorized official

Name

Yvette A Dupree, RN

Title

Managing Partner

Phone

(317) 777-0224

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IN2 enrollments

Enrollment records 2

Listed as

Optimal DialysisCCN 152709

Ownership

Profit

Certified

Mar 31, 2021

Medicare certification status

ActiveFrom the Provider of Services file

Dialysis stations

4

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

CLIA laboratory certificates

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Bryant Alan King, M.D.

  • Internal Medicine Physician
  • Indianapolis, IN
  • NPI 1720010341
  Medicare reassignment NPD
• Anton Alexi Cabellon, D.O.

  • Nephrology Physician
  • Indianapolis, IN
  • NPI 1013006972
  NPD (past)

Affiliated clinicians 1

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

• Anton Alexi Cabellon, D.O.

  • Nephrology Physician
  • Indianapolis, IN
  • NPI 1013006972

  Dialysis facility

  Care Compare affiliation Name & address match

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

{
    "created_epoch": "1596067200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1614297600000",
    "number": "1902415359",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8315 E 56TH ST STE 120",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462161078",
            "telephone_number": "317-777-0224"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8315 E 56TH ST STE 120",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462161078",
            "telephone_number": "317-777-0224"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OPTIMAL DIALYSIS",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-07-30",
        "last_updated": "2021-02-26",
        "certification_date": "2021-02-26",
        "status": "A",
        "authorized_official_last_name": "DUPREE",
        "authorized_official_first_name": "YVETTE",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "MANAGING PARTNER",
        "authorized_official_telephone_number": "317-777-0224",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "261QE0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, End-Stage Renal Disease (ESRD) Treatment",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Optical Dispensing Company, P.C.
• Optical Management Systems, Inc
• Optima Home Services LLC
• Optima Homehealth Care
• Optimal Comfort Inc.
• Optimal Home Care LLC
• Optimal Wellness Center of Indiana, L.L.C.
• Optimum Care Centers, LLC.
• Optimum Care Professionals
• Optimum Health Care Professionals

• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Indianapolis, IN
• Providers in Indianapolis, IN by specialty
• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2021; 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.