Okc Homedialysis LLC

Primary specialty

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

Legal business name

OKC HOMEDIALYSIS LLC

Practice address

4001 N Classen Blvd Ste 105
Oklahoma City, OK 73118-2668

Phone

(580) 695-1306

Fax

(405) 217-0010

NPI assigned

Jun 8, 2021

Organization subpart

No

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

Authorized official

Name

Mrs. Leslie A Whiles, ADMINISTRATOR

Title

Fa

Phone

(580) 695-1306

Specialties & licenses 1

Addresses

Other names 1

• OKC Homedialysis llc Doing business as

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in OK

Enrollment records 1

Locations

Practitioners 2

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

• Zahid B Ahmad, MD

  • Nephrology Physician
  • Oklahoma City, OK
  • NPI 1700854049
  NPD
• Benjamin D Cowley Jr., MD

  • Nephrology Physician
  • Oklahoma City, OK
  • NPI 1427027457
  NPD

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

{
    "created_epoch": "1623110400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1738022400000",
    "number": "1902473945",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3727 NW 63RD ST STE 300",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731161923",
            "telephone_number": "405-286-0576"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4001 N CLASSEN BLVD STE 105",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731182668",
            "telephone_number": "580-695-1306",
            "fax_number": "405-217-0010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OKC HOMEDIALYSIS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-06-08",
        "last_updated": "2025-01-28",
        "certification_date": "2025-01-28",
        "status": "A",
        "authorized_official_last_name": "WHILES",
        "authorized_official_first_name": "LESLIE",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "FA",
        "authorized_official_telephone_number": "580-695-1306",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "ADMINISTRATOR"
    },
    "taxonomies": [
        {
            "code": "261QE0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, End-Stage Renal Disease (ESRD) Treatment",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "MIQS",
            "affiliation": "N",
            "endpointDescription": "EMR",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "Clinic",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "4001 N Classen Blvd Ste 105",
            "city": "Oklahoma City",
            "state": "OK",
            "country_code": "US",
            "postal_code": "731182668",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "OKC Homedialysis llc",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "OKC Homedialysis llc",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Oklahoma City, OK
• Providers in Oklahoma City, 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 Jan 28, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.