Beechnut Dialysis Center LLC

Primary specialty

Renal Dialysis TechnicianTaxonomy code 2472R0900X

License

0080004 Issued in TX

Legal business name

BEECHNUT DIALYSIS CENTER LLC

Practice address

8325 Beechnut St
Houston, TX 77036-6853

Phone

(713) 772-5228

Fax

(713) 490-2344

NPI assigned

Jun 24, 2005

Organization subpart

No

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

Authorized official

Name

Mrs. Rita Patel

Title

Ceo

Phone

(832) 265-2341

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Listed as

Beechnut DialysisCCN 452880

Overall star rating

1.0 of 5

Ownership

Profit

Certified

Mar 25, 2004

Medicare certification status

ActiveFrom the Provider of Services file

Dialysis stations

24

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.

• Shatishkumar Y Patel, M.D.

  • Nephrology Physician
  • Houston, TX
  • NPI 1366450579
  NPD (past)

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

{
    "created_epoch": "1119571200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1618963200000",
    "number": "1972509859",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 720540",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "772720540",
            "telephone_number": "713-772-5228",
            "fax_number": "713-490-2344"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8325 BEECHNUT ST",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770366853",
            "telephone_number": "713-772-5228",
            "fax_number": "713-490-2344"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEECHNUT DIALYSIS CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-06-24",
        "last_updated": "2021-04-21",
        "certification_date": "2021-04-21",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "RITA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "832-265-2341",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "2472R0900X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Technician, Other, Renal Dialysis",
            "state": "TX",
            "license": "0080004",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "163949402",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Madison Diane Beebe
• Rebecca Ann Beebe, MSCCC, SLP
• Kelley Renee Beecher, LCSW
• Ward Beecher, DC
• Beechnut Acute Trauma Associates PLLC
• Beechnut Eye Docs PC
• Beechnut MRI & Diagnostic, LP
• Beechnut Neurology PA
• Beechnut RX
• Beechwood Home Health Corporation

• Other Technician in Houston, TX
• Providers in Houston, TX by specialty
• Other Technician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2021; 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.