FRESENIUS KIDNEY CARE DESERT SAGE – NPI #1982152484
Clinic/Center

FRESENIUS KIDNEY CARE DESERT SAGE is an AHC clinic located in PHOENIX, AZ. NPPES has assigned the NPI number 1982152484 to FRESENIUS KIDNEY CARE DESERT SAGE on September 14, 2016. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “FRESENIUS KIDNEY CARE DESERT SAGE” is a dba name, the actual legal business name for this organization is BIO-MEDICAL APPLICATIONS OF ARIZONA, LLC. The primary taxonomy selected by this provider is 261QE0700X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in End-Stage Renal Disease (ESRD) Treatment

The NPI profile was previously updated about 3 years ago on Oct 19, 2023. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for FRESENIUS KIDNEY CARE DESERT SAGE below.

NPI Profile for
BIO-MEDICAL APPLICATIONS OF ARIZONA, LLC

NPI Number
1982152484
Enumeration Date

(more than 9 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
BIO-MEDICAL APPLICATIONS OF ARIZONA, LLC
Doing Business As (dba): FRESENIUS KIDNEY CARE DESERT SAGE
Primary location
4901 W MCDOWELL RD STE 120
PHOENIX, AZ 85035-4160
Phone: (602) 272-3116 Fax: (602) 272-3249
Mailing address
Same as primary location
Organization Subpart
Yes - FRESENIUS KIDNEY CARE DESERT SAGE is subpart of another organization.
Authorized Official
BARRY BLANTON
VICE PRESIDENT
Phone: (781) 699-9000
Updated
Certification Date
Oct 19, 2023

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Identifiers

Identifiers for FRESENIUS KIDNEY CARE DESERT SAGE

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
otherPTANAZ03-2650
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QE0700X
- Clinic/Center / End-Stage Renal Disease (ESRD) Treatment (Primary)		 AZ

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.

Endpoint

Health Information Exchange (HEI)

HEI is the mobilization of health care information electronically across organizations within a region, community or hospital system. Endpoints provide a simple and secure way for participants to send authenticated, encrypted health information directly to known, trusted recipients over the internet such as primary care physicians, specialists, hospitals, labs, etc.

Endpoint
https://esmd.abilitynetwork.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service
Endpoint type
CONNECT URL
Endpoint Description
2.16.840.1.113883.3.667.2
Content Type
CSV
Affiliation
Y
Endpoint Location
100 N 6TH ST STE 900A,
MINNEAPOLIS, MN 77025-1669