Organization Active NPI

Chautha LLC

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Irving, TX
National Provider Identifier
1972106466
Registry record updated Nov 18, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
End-Stage Renal Disease (ESRD) Treatment Clinic/CenterTaxonomy code 261QE0700X
Legal business name
CHAUTHA LLC
Practice address
1329 W Walnut Hill LN Ste 110
Irving, TX 75038-3027
Phone
(214) 395-5331
NPI assigned
Nov 18, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 18, 2020

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

Authorized official

Name
Rajesh Amin
Title
Owner
Phone
(214) 395-5331

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
End-Stage Renal Disease (ESRD) Treatment Clinic/Center 261QE0700X Primary

Addresses

Primary practice location

1329 W Walnut Hill LN Ste 110
Irving, TX 75038-3027

Mailing address

1329 W Walnut Hill LN Ste 110
Irving, TX 75038-3027
Phone (214) 395-5331

Other names 1

  • Universal Dialysis Center Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230804002746 TX Part A Provider - End-Stage Renal Disease Facility (ESRD) 5597126649 Practice locations: Irving, TX

Care Compare: Dialysis facility

Medicare Care Compare
Listed as
Universal Dialysis CenterCCN 742702
Overall star rating
1.0 of 5
Ownership
Profit
Certified
Apr 22, 2024
Medicare certification status
ActiveFrom the Provider of Services file
Dialysis stations
15

Name & address match This facility record has no NPI; it was connected to this NPI by matching name and address.

National Provider Directory

National Provider Directory

Locations

1329 W Walnut Hill Ln
Ste 110
Irving, TX 75038
Phone (214) 395-5331

Practitioners & affiliated clinicians

Practitioners 1

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

Affiliated clinicians 1

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

NPI Registry JSON

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

{
    "created_epoch": "1605657600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1605657600000",
    "number": "1972106466",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1329 W WALNUT HILL LN STE 110",
            "city": "IRVING",
            "state": "TX",
            "postal_code": "750383027",
            "telephone_number": "214-395-5331"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1329 W WALNUT HILL LN STE 110",
            "city": "IRVING",
            "state": "TX",
            "postal_code": "750383027",
            "telephone_number": "214-395-5331"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHAUTHA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-11-18",
        "last_updated": "2020-11-18",
        "certification_date": "2020-11-17",
        "status": "A",
        "authorized_official_last_name": "AMIN",
        "authorized_official_first_name": "RAJESH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "214-395-5331"
    },
    "taxonomies": [
        {
            "code": "261QE0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, End-Stage Renal Disease (ESRD) Treatment",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Universal Dialysis Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Irving, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2020; 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.