Dialysis Clinic Inc.

Primary specialty

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

License

0260 Issued in CT

Legal business name

DIALYSIS CLINIC INC.

Practice address

270 Farmington Ave Ste 160
Farmington, CT 06032

Phone

(860) 678-1459

Fax

(860) 678-0185

NPI assigned

Jul 19, 2006

Last updated

Oct 5, 2023By 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

Mr. Donovan Schultz

Title

President

Phone

(615) 327-3061

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in CT

Enrollment records 1

Listed as

Dci - Uconn Dialysis CenterCCN 072519

Overall star rating

4.0 of 5

Ownership

Non-profit

Certified

Dec 29, 1999

Medicare certification status

ActiveFrom the Provider of Services file

Chain

Dialysis Clinic, Inc.

Dialysis stations

19

Tax ID family

Dialysis Clinic Inc238 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 2

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

• Dialysis Clinic Inc.

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Manchester, CT
  • NPI 1982832317
  NPD tax ID
• Dialysis Clinic, Inc.

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Avon, CT
  • NPI 1134773617
  NPD tax ID

Locations

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

Affiliated clinicians 5

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

• William Patrick Ackley, M.D.

  • Nephrology Physician
  • New Haven, CT
  • NPI 1225565906

  Dialysis facility

  Care Compare affiliation Name & address match
• Lalarukh Haider, MD

  • Nephrology Physician
  • Farmington, CT
  • NPI 1871516054

  Dialysis facility

  Care Compare affiliation Name & address match
• Srimathi Manickaratnam, M.D

  • Hospitalist Physician
  • Hartford, CT
  • NPI 1396800827

  Dialysis facility

  Care Compare affiliation Name & address match
• Joseph Michael Tremaglio, M.D.

  • Nephrology Physician
  • Hartford, CT
  • NPI 1841519451

  Dialysis facility

  Care Compare affiliation Name & address match
• Ruchir Dhirajlal Trivedi, M.D.

  • Nephrology Physician
  • Farmington, CT
  • NPI 1376720912

  Dialysis facility

  Care Compare affiliation Name & address match

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

{
    "created_epoch": "1153267200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1696464000000",
    "number": "1952320194",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "270 FARMINGTON AVE",
            "city": "FARMINGTON",
            "state": "CT",
            "postal_code": "060321909",
            "telephone_number": "860-678-1459",
            "fax_number": "860-678-0185"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "270 FARMINGTON AVE STE 160",
            "city": "FARMINGTON",
            "state": "CT",
            "postal_code": "06032",
            "telephone_number": "860-678-1459",
            "fax_number": "860-678-0185"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIALYSIS CLINIC INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-19",
        "last_updated": "2023-10-05",
        "certification_date": "2023-10-05",
        "status": "A",
        "authorized_official_last_name": "SCHULTZ",
        "authorized_official_first_name": "DONOVAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "615-327-3061",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QE0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, End-Stage Renal Disease (ESRD) Treatment",
            "state": "CT",
            "license": "0260",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "004201420",
            "state": "CT"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "004201430",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Shradha Dhanania
• Murali Dharan, M.D.
• Sonia Kaur Dhillon, M.D.
• Ashish Ramchandra Dhongade, M.D.
• Amy Di Mauro, LCSW
• Patricia I Diaz-Moreno, DDS
• Anthony Diaz, MD
• Glorimar Rivera Diaz, FNP-BC
• Rubi R Diaz, APRN
• Alicia M Diclementi, OTR/L

• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Farmington, CT
• Providers in Farmington, CT by specialty
• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• 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.