Raceland Dialysis Center

Primary specialty

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

License

109 Issued in LA

Legal business name

RACELAND DIALYSIS CENTER

Practice address

4601 Highway 1
Raceland, LA 70394-2624

Phone

(985) 537-6962

Fax

(985) 537-6928

NPI assigned

Jun 26, 2006

Last updated

Aug 22, 2020By 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. Murat Hatipoglu

Title

Ceo

Phone

(504) 780-1422

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in LA

Enrollment records 1

Listed as

Raceland Dialysis CtrCCN 192578

Ownership

Profit

Certified

Jan 26, 1994

Medicare certification status

ActiveFrom the Provider of Services file

Dialysis stations

8

Practitioners 2

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.

• Arzu Nazli Hatipoglu, M.D.

  • Nephrology Physician
  • Chalmette, LA
  • NPI 1396748828
  NPD (past)
• Mustafa Hatipoglu, M.D.

  • Nephrology Physician
  • Chalmette, LA
  • NPI 1699778118
  NPD (past)

Affiliated clinicians 1

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

• Arzu Nazli Hatipoglu, M.D.

  • Nephrology Physician
  • Chalmette, LA
  • NPI 1396748828

  Dialysis facility

  Care Compare affiliation Name & address match

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

{
    "created_epoch": "1151280000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1992732242",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4424 CONLIN ST",
            "address_2": "SUITE 2A",
            "city": "METAIRIE",
            "state": "LA",
            "postal_code": "700062147",
            "telephone_number": "504-780-1422",
            "fax_number": "504-780-1432"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4601 HIGHWAY 1",
            "city": "RACELAND",
            "state": "LA",
            "postal_code": "703942624",
            "telephone_number": "985-537-6962",
            "fax_number": "985-537-6928"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RACELAND DIALYSIS CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-26",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HATIPOGLU",
        "authorized_official_first_name": "MURAT",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "504-780-1422",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QE0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, End-Stage Renal Disease (ESRD) Treatment",
            "state": "LA",
            "license": "109",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD LA",
            "identifier": "34606",
            "state": "LA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1985724",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Keri Rousse Pitre, LCSW
• Simone Therese Pitre, M.D.
• Jennifer Matherne Plaisance, PT, DPT
• Lacy Marie Poiencot, OT
• Michelle Rabb
• Raceland Emergency Group, LLC
• Raceland Manor Nursing Home, Inc.
• Racelands Express LLC (Raceland's Pharmacy Express)
• Racelands Express, LLC (Raceland's Pharmacy Express)
• Reach Out & Touch Outreach Services, Inc.

• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Raceland, LA
• Providers in Raceland, LA by specialty
• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.