CROWN DIALYSIS CENTER OF PALM BEACH LLC
NPI 1750660247
Clinic/Center - End-Stage Renal Disease (ESRD) Treatment in Boca Raton, FL

Active since August 15, 2011CLIA 10D2031257 · Waiver
1/5
Overall Rating
4701 N FEDERAL HWY, BOCA RATON, FL 33431(954) 993-5757(954) 577-5776 Get Directions Write a Review

NPPES record last updated: August 19, 2011. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Crown Dialysis Center Of Palm Beach Llc NPPES

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

CROWN DIALYSIS CENTER OF PALM BEACH LLC (NPI 1750660247) is a healthcare organization registered as an end-stage renal disease (esrd) treatment in Boca Raton, Florida and active in the NPI registry since August 2011. The organization holds a CLIA Waiver certificate valid through October 16, 2027 and lists Bharat K Gupta, Member Manager, as its authorized official.

NPPES Registry Identity

NPI1750660247
Entity TypeOrganization
Primary Taxonomy261QE0700X
Legal Business NameCROWN DIALYSIS CENTER OF PALM BEACH LLC
Location Address4701 N FEDERAL HWYBoca Raton, FL 33431-5135
Mailing Address4701 N Federal HwyBoca Raton, FL 33431-5135 · (954) 993-5757 · Fax (954) 577-5776
Fax(954) 577-5776
Organization SubpartNo
Authorized OfficialBharat K GuptaMember Manager · (954) 993-5757
Enumeration DateAugust 15, 2011
Last NPPES UpdateAugust 19, 2011
✔ NPI 1750660247 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
4701 N FEDERAL HWY, Boca Raton, FL 33431

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Crown Dialysis Center Of Palm Beach Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by February 28, 2027

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StateFloridaEnrollment IDO20110928000702Part A · End-Stage Renal Disease Facility (ESRD)Due dateFebruary 28, 2027
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Crown Dialysis Center Of Palm Beach LLC, which bills Medicare for the services they deliver. They are listed nearest first.

Clinicians, nearest first (2)

Nurse Practitioner
NPI 1457895468
911 E OAKLAND PARK BLVD
Oakland Park, FL 33334
(549) 727-2300
✔ PECOS16 mi
Nephrology
NPI 1114980075
911 E OAKLAND PARK BLVD
Oakland Park, FL 33334
(954) 727-2300
✔ PECOS✔ Accepts Medicare16 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 10D2031257

Crown Dialysis Center Of Palm Beach LLC · Boca Raton, FL
Active · expires Oct 16, 2027
CLIA Number10D2031257
Laboratory TypeEnd Stage Renal Disease Dialysis Facility
Certificate Effective DateOctober 17, 2025
Certificate Expiration DateOctober 16, 2027
Laboratory DirectorDr. Bharat Gupta
Laboratory Phone(561) 372-3700
Laboratory LocationCrown Dialysis Center Of Palm Beach LLC4701 N Federal Hwy, Boca Raton, FL 33431
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 Crown Dialysis Center Of Palm Beach LLC (CMS certification number 682523), from CMS Care Compare.

Crown Dialysis Center Of Palm Beach LLC

Dialysis facility · Boca Raton, FL
1/5 CMS RatingRating period January 2020 to December 2023
OwnershipProfit
CMS Certification Number682523
ESRD NetworkNetwork 7
Hemodialysis Stations8
Medicare-Certified SinceJuly 24, 2012
Location4701 N FEDERAL HIGHWAYBoca Raton, FL 33431 · Palm Beach County
Services Offered
In-center hemodialysis Peritoneal dialysis Home hemodialysis training

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 Crown Dialysis Center Of Palm Beach LLC's NPI number?

The NPI number for Crown Dialysis Center Of Palm Beach LLC is 1750660247. It was assigned to this organization in the NPPES registry on August 15, 2011.

Where is Crown Dialysis Center Of Palm Beach LLC located?

Crown Dialysis Center Of Palm Beach LLC is located at 4701 N Federal Hwy, Boca Raton, FL 33431. The listed phone number is (954) 993-5757.

What is Crown Dialysis Center Of Palm Beach 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.

Is Crown Dialysis Center Of Palm Beach LLC enrolled in Medicare?

Yes. Crown Dialysis Center Of Palm Beach LLC is registered in the Medicare PECOS enrollment system.

When is Crown Dialysis Center Of Palm Beach LLC's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Part A enrollment for this organization (Florida, End-Stage Renal Disease Facility (ESRD)) is due for revalidation by February 28, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

How many clinicians bill Medicare through Crown Dialysis Center Of Palm Beach LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians reassign their Medicare billing to Crown Dialysis Center Of Palm Beach LLC, in Nephrology and Nurse Practitioner. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Crown Dialysis Center Of Palm Beach LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 10D2031257) is associated with this NPI, valid through October 16, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

Is Crown Dialysis Center Of Palm Beach LLC a Medicare-certified dialysis facility?

Yes. Crown Dialysis Center Of Palm Beach LLC is a Medicare-certified dialysis facility, certified since July 24, 2012.

What quality rating does Crown Dialysis Center Of Palm Beach LLC have?

CMS rates Crown Dialysis Center Of Palm Beach LLC 1 out of 5 stars on Care Compare. The full measure detail is in the Dialysis Facility Quality section above.

What insurance does Crown Dialysis Center Of Palm Beach LLC accept?

Health plans from Ambetter Health, Ambetter from Superior HealthPlan, Ambetter of Alabama, AvMed and Cigna HealthCare of Florida, Inc. and 2 other insurers list Crown Dialysis Center Of Palm Beach 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 Crown Dialysis Center Of Palm Beach LLC was last updated on August 19, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.