Dialyze Direct TN, LLC

Primary specialty

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

Legal business name

DIALYZE DIRECT TN, LLC

Practice address

2600 Thousand Oaks Blvd Ste 1400
Memphis, TN 38118-2401

Phone

(732) 806-9990

NPI assigned

Mar 13, 2019

Last updated

Mar 13, 2019By 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

Jonathan Paull

Title

GC/Cco

Phone

(732) 806-9990

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TN

Enrollment records 1

Listed as

Dialyze Direct TNCCN 442768

Ownership

Profit

Certified

Dec 1, 2020

Medicare certification status

ActiveFrom the Provider of Services file

Dialysis stations

1

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.

• Amay Parikh, MD

  • Critical Care Medicine (Internal Medicine) Physician
  • Orlando, FL
  • NPI 1740464924
  NPD (past)

Affiliated clinicians 2

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

• Aditya Kumar Bhartia, M.D.

  • Nephrology Physician
  • Cleveland, TN
  • NPI 1932337060

  Dialysis facility

  Care Compare affiliation Name & address match
• Amay Parikh, MD

  • Critical Care Medicine (Internal Medicine) Physician
  • Orlando, FL
  • NPI 1740464924

  Dialysis facility

  Care Compare affiliation Name & address match

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

{
    "created_epoch": "1552435200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1552435200000",
    "number": "1972062669",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3297 STATE ROUTE 66",
            "city": "NEPTUNE",
            "state": "NJ",
            "postal_code": "077532762",
            "telephone_number": "732-806-9990"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2600 THOUSAND OAKS BLVD STE 1400",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381182401",
            "telephone_number": "732-806-9990"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIALYZE DIRECT TN, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-03-13",
        "last_updated": "2019-03-13",
        "status": "A",
        "authorized_official_last_name": "PAULL",
        "authorized_official_first_name": "JONATHAN",
        "authorized_official_title_or_position": "GC/CCO",
        "authorized_official_telephone_number": "732-806-9990"
    },
    "taxonomies": [
        {
            "code": "261QE0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, End-Stage Renal Disease (ESRD) Treatment",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Diagnostic Imaging PC
• Alicia Janel Diallo, MS, CCC-SLP
• Dialysis Management Corp (Mid South Dialysis Shelby Dr)
• Dialysis Newco LLC (DSI Memphis South Dialysis)
• Dialysis Newco, Inc. (U.S. Renal Care South Memphis Dialysis)
• Diamond Care ABA TN LLC
• Diamond Home Healthcare
• Diamond One Healthcare
• Constance Diamond
• Lynda Susan Diangelo, P.T.

• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Memphis, TN
• Providers in Memphis, TN by specialty
• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2019; 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.