DIALYSUITES BARTRAM PARK LLC
NPI 1629722707
Clinic/Center - End-Stage Renal Disease (ESRD) Treatment in Jacksonville, FL

Active since February 08, 2022CLIA 10D2257913 · Waiver
1/5
Overall Rating
13241 BARTRAM PARK BLVD UNIT 305, JACKSONVILLE, FL 32258(904) 566-2951 Get Directions Write a Review

NPPES record last updated: February 8, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dialysuites Bartram Park Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DIALYSUITES BARTRAM PARK LLC (NPI 1629722707) is a healthcare organization registered as an end-stage renal disease (esrd) treatment in Jacksonville, Florida and active in the NPI registry since February 2022. The organization holds a CLIA Waiver certificate valid through April 12, 2028 and lists Danae C Philliips Munjal, Ceo, as its authorized official.

NPPES Registry Identity

NPI1629722707
Entity TypeOrganization
Primary Taxonomy261QE0700X
Legal Business NameDIALYSUITES BARTRAM PARK LLC
Location Address13241 BARTRAM PARK BLVD UNIT 305Jacksonville, FL 32258-5236
Mailing Address13241 Bartram Park Blvd Unit 305Jacksonville, FL 32258-5236 · (904) 566-2951
Organization SubpartNo
Authorized OfficialDanae C Philliips MunjalCeo · (904) 566-2951
Enumeration DateFebruary 8, 2022
NPPES CertifiedFebruary 8, 2022
NPI 1629722707 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · End-Stage Renal Disease (ESRD) TreatmentAmbulatory Health Care Facilities
Taxonomy Code261QE0700X
13241 BARTRAM PARK BLVD UNIT 305, Jacksonville, FL 32258

Accepted Insurance

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 10D2257913

Dialysuites Bartram Park, LLC · Jacksonville, FL
Active · expires Apr 12, 2028
CLIA Number10D2257913
Laboratory TypeEnd Stage Renal Disease Dialysis Facility
Certificate Effective DateApril 13, 2026
Certificate Expiration DateApril 12, 2028
Laboratory DirectorMunjal Sandeep
Laboratory Phone(904) 556-2951
Laboratory LocationDialysuites Bartram Park, LLC13241 Bartram Park Blvd Suite 305, Jacksonville, FL 32258
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Dialysis Facility Quality Ratings CMS Care Compare

Quality ratings, services and patient survey results for DialySuites Bartram Park, LLC (CMS certification number 682754), from CMS Care Compare.

DialySuites Bartram Park, LLC

Dialysis facility · Jacksonville, FL
1/5 CMS RatingRating period January 2020 to December 2023
OwnershipProfit
CMS Certification Number682754
ESRD NetworkNetwork 7
Hemodialysis Stations8
Medicare-Certified SinceNovember 18, 2022
Location13241 Bartram Park Blvd Suite 305Jacksonville, FL 32258 · Duval County
Services Offered
In-center hemodialysis Peritoneal dialysis

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Dialysuites Bartram Park LLC's NPI number?

The NPI number for Dialysuites Bartram Park LLC is 1629722707. It was assigned to this organization in the NPPES registry on February 8, 2022.

Where is Dialysuites Bartram Park LLC located?

Dialysuites Bartram Park LLC is located at 13241 Bartram Park Blvd Unit 305, Jacksonville, FL 32258. The listed phone number is (904) 566-2951.

What is Dialysuites Bartram Park LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in End-Stage Renal Disease (ESRD) Treatment, with taxonomy code 261QE0700X.

Does Dialysuites Bartram Park LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 10D2257913) is associated with this NPI, valid through April 12, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

Is Dialysuites Bartram Park LLC a Medicare-certified dialysis facility?

Yes. DialySuites Bartram Park, LLC is a Medicare-certified dialysis facility, certified since November 18, 2022.

What quality rating does Dialysuites Bartram Park LLC have?

CMS rates DialySuites Bartram Park, LLC 1 out of 5 stars on Care Compare. The full measure detail is in the Dialysis Facility Quality section above.

What insurance does Dialysuites Bartram Park LLC accept?

Health plans from Ambetter Health, Ambetter from Superior HealthPlan and Ambetter of Alabama list Dialysuites Bartram Park LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Dialysuites Bartram Park LLC was last updated on February 8, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.