Aqua Dialysis Livingston LLC

Primary specialty

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

Legal business name

AQUA DIALYSIS LIVINGSTON LLC

Practice address

209 W Park
Livingston, TX 77351-7020

Phone

(936) 327-1108

Fax

(936) 327-1135

NPI assigned

Feb 10, 2020

Last updated

Sep 10, 2024By the provider in NPPES

Organization subpart

Yes

Parent organization

AQUA DIALYSIS LLPAs reported in NPPES

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

Authorized official

Name

Rupal Patel, MD

Title

Ceo

Phone

(832) 721-2927

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Listed as

aQua Dialysis LivingstonCCN 452661

Overall star rating

2.0 of 5

Ownership

Profit

Certified

Nov 3, 1993

Medicare certification status

ActiveFrom the Provider of Services file

Chain

Other

Dialysis stations

12

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

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.

• Anand Saranathan, M.D.

  • Nephrology Physician
  • Houston, TX
  • NPI 1760652119
  NPD (past)

Affiliated clinicians 1

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

• Imran Nazeer, M.D.

  • Specialist
  • Lufkin, TX
  • NPI 1477582039

  Dialysis facility

  Care Compare affiliation Name & address match

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

{
    "created_epoch": "1581292800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1725926400000",
    "number": "1922630706",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1245 SOUTHRIDGE CT STE 102",
            "city": "HURST",
            "state": "TX",
            "postal_code": "760534390",
            "telephone_number": "682-429-4508",
            "fax_number": "346-214-6368"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "209 W PARK",
            "city": "LIVINGSTON",
            "state": "TX",
            "postal_code": "773517020",
            "telephone_number": "936-327-1108",
            "fax_number": "936-327-1135"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AQUA DIALYSIS LIVINGSTON LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "AQUA DIALYSIS LLP",
        "enumeration_date": "2020-02-10",
        "last_updated": "2024-09-10",
        "certification_date": "2024-09-10",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "RUPAL",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "832-721-2927",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QE0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, End-Stage Renal Disease (ESRD) Treatment",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Louis Irvin Ambeaux Jr., P.A.
• American Hospice, Inc. (Gentiva)
• Americare EMS Polk County LLC (Americare EMS)
• Victoria Lynn Anderson
• Apostle Home Healthcare, PLLC
• Denise Armstead Jolly, FNP
• Frankie Rudock Ash Jr., LVN
• Nihad Askar
• Adeola Grace Atilade, M.D
• Richard M Avery, DO

• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Livingston, TX
• Providers in Livingston, TX by specialty
• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 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.