Active NPI
Chautha LLC
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Irving, TX
National Provider Identifier
1972106466
On this page
Key facts
NPPES NPI Registry- Primary specialty
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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 Center
- Overall star rating
- Ownership
- Profit
- Certified
- Apr 22, 2024
- Medicare certification status
- Active
- 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 DirectoryLocations
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.
-
- Emergency Medicine Physician
- Coppell, TX
- NPI 1699050963
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.