KENAI DIALYSIS LLC (NPI# 1013271410) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013271410 |
| Entity Type | Organization |
| Organization Name | KENAI DIALYSIS LLC |
| Other Organization Name | NALL DIALYSIS |
| Practice Address |
10787 Nall Ave Ste 130 Overland Park KS 66211-1375 |
| Mailing Address |
5200 Virginia Way Brentwood TN 37027-7569 |
| Practice Telephone | 9136492671 |
| Practice Fax Number | 9136492869 |
| Mailing Telephone | 6153204268 |
| Mailing Fax Number | 8772380567 |
| Enumeration Date | 2012-06-29 |
| Last Update Date | 2019-02-25 |
| Authorized Official Name | JAMES K HILGER (CHIEF ACCOUNTING OFFICER) |
| Authorized Official Telephone | 2537334500 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QE0700X |
Clinic/Center Specialization: End-Stage Renal Disease (ESRD) Treatment |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Nall Dialysis | Doing Business As Name - Organization |
| Street Address |
10787 NALL AVE STE 130 |
| City | OVERLAND PARK |
| State | KS |
| Zip Code | 66211-1375 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659370161 | Christa Ruble Balanoff | Surgery | 10787 Nall Ave, Suite 220, Overland Park, KS 66211-1375 | 2005-07-18 |
| 1629510326 | College Park Endoscopy Center, LLC | Clinic/Center | 10787 Nall Ave, Suite 100, Overland Park, KS 66211-1375 | 2016-11-11 |
| 1689003345 | Holly C Bachman | Physician Assistant | 10787 Nall Ave, Suite 220, Overland Park, KS 66211-1375 | 2013-11-04 |
| 1063847812 | Jayhawk Primary Care Inc | Internal Medicine | 10787 Nall Ave, Ste 310, Overland Park, KS 66211-1375 | 2013-09-12 |
| 1770918526 | Monica Davis Pfeiffer | Nurse Practitioner | 10787 Nall Ave, Ste 310, Overland Park, KS 66211-1375 | 2013-09-12 |
| 1801155486 | Renuva Health LLC | Chiropractor | 10787 Nall Ave, Suite 110, Overland Park, KS 66211-1375 | 2012-05-16 |
| 1164781795 | Michael Green | Chiropractor | 10787 Nall Ave, Suite 110, Overland Park, KS 66211-1375 | 2012-05-16 |
| 1033344122 | Kathryn Timm | Nurse Practitioner | 10787 Nall Ave, Suite 200, Overland Park, KS 66211-1375 | 2009-05-19 |
| 1982845970 | Jayhawk Primary Care Inc | Internal Medicine | 10787 Nall Ave, Ste. 310, Overland Park, KS 66211-0000 | 2009-03-20 |
| 1265615587 | Southwind Anesthesia Services, P.a. | Anesthesiology | 10787 Nall Ave, Suite 100, Overland Park, KS 66211-1231 | 2007-12-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336611821 | Baillie Rose Woydziak | Social Worker | 5805 W 110th Street, Overland Park, KS 66211 | 2018-12-20 |
| 1467920389 | Ku Medwest Ambulatory Surgery Center, LLC | Clinic/Center | 10720 Nall Avenue, Overland Park, KS 66211 | 2018-11-08 |
| 1235615931 | Janice Carollo | Physical Therapy Assistant | 11611 Granada Lane, Leawood, KS 66211 | 2018-07-16 |
| 1720572555 | Trevor Lee Elmer | Physical Therapist | 10777 Nall, 320 - Corporate Medical Plaza Building II, Overland Park, KS 66211 | 2018-06-15 |
| 1043746555 | Overland Park Surgical Suites, LLC | Clinic/Center | 6650 W 110th St Ste 300, Overland Park, KS 66211 | 2017-05-03 |
| 1619313665 | Vcphcs Xiv, LLC | Clinic/Center | 6331 W. 110th Street, Overland Park, KS 66211 | 2013-05-17 |
| 1528334950 | Scott Anthony Hardouin | Surgery | 5100 W 110th St Unit 300, Overland Park, KS 66211 | 2012-03-29 |
| 1386917003 | Children's Physical Therapy Associates | Physical Therapist | 6600 College Boulevard, Suite 307, Overland Park, KS 66211 | 2012-02-10 |
| 1871876250 | Amber Diane Dalzell | Social Worker | 10965 Granada Ln Ste 102, Overland Park, KS 66211 | 2011-09-22 |
| 1912298001 | Stephen Vincent Hiatt | Orthopaedic Surgery | 10701 Nall Avenue, Suite 200, Overland Park, KS 66211 | 2011-04-25 |
| Find all providers in zip 66211 | ||||
| Taxonomy Code | 261QE0700X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | End-Stage Renal Disease (ESRD) Treatment |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083248181 | Pure Life Renal of Overland Park, LLC | Clinic/Center | 11661 College Blvd Ste 106, Overland Park, KS 66210-4107 | 2020-02-27 |
| 1093226086 | Total Renal Care Inc | Clinic/Center | 12201 W 110th St, Overland Park, KS 66210-0004 | 2017-10-17 |
| 1710368063 | Home Dialysis Services Kansas City | Clinic/Center | 6740 W 121st St Ste 100, Overland Park, KS 66209-2042 | 2015-06-12 |
| 1588779300 | Bio-medical Applications of Kansas, Inc. | Clinic/Center | 6751 West 119th Street, Overland Park, KS 66209-2013 | 2006-08-20 |
| 1215596598 | Concerto Kansas LLC | Clinic/Center | 6740 W 121st St, Overland Park, KS 66209-2002 | 2019-06-10 |
| 1265947477 | Pinewoods Dialysis LLC | Clinic/Center | 12201 W 110th St, Overland Park, KS 66210-4045 | 2017-12-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306381942 | Caddoan Dialysis LLC | Clinic/Center | 2852 W 47th Ave, Kansas City, KS 66103-3243 | 2017-01-05 |
| 1982150595 | Bio-medical Applications of Kansas, Inc. | Clinic/Center | 3408 Se 29th St, Topeka, KS 66605 | 2016-09-01 |
| 1457704637 | Total Renal Care Inc | Clinic/Center | 519 Mccall Rd Ste 100, Manhattan, KS 66502-5038 | 2016-07-22 |
| 1871943712 | Fresenius Medical Care Garden City LLC | Clinic/Center | 2053 E Mary St, Garden City, KS 67846-3617 | 2016-06-21 |
| 1558725259 | Caesar Dialysis LLC | Clinic/Center | 2425 S Rouse St, Pittsburg, KS 66762-6606 | 2016-04-08 |
| 1588021968 | Total Renal Care Inc | Clinic/Center | 1812 S Seneca St, Ste 110, Wichita, KS 67213-4104 | 2016-01-15 |
| 1962871012 | Total Renal Care Inc | Clinic/Center | 1918 E 23rd St, Lawrence, KS 66046-5069 | 2015-09-18 |
| 1538538673 | Total Renal Care Inc | Clinic/Center | 14010 W 134th Pl, Olathe, KS 66062-6139 | 2015-09-18 |
| 1306237854 | Total Renal Care Inc | Clinic/Center | 3711 Sw Wanamaker Rd, Topeka, KS 66610-1368 | 2015-02-05 |
| 1033528708 | Total Renal Care Inc | Clinic/Center | 1616 Industrial Rd, Ste 2004, Emporia, KS 66801-6222 | 2014-08-07 |
| Find all providers with the same taxonomy | ||||
| City | OVERLAND PARK |
| Zip Code | 66211 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.