Dialysis Clinic Inc.
NPI 1720011109 · End-Stage Renal Disease (ESRD) Treatment Clinic/Center · Jacksonville, FL
Enrolled with Medicare as Part a Provider - End-Stage Renal Disease Facility (esrd) · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Dialysis Clinic Inc. is a End-Stage Renal Disease (ESRD) Treatment Clinic/Center organization in Jacksonville, FL (NPI 1720011109).
Provider details
- NPI number
- 1720011109
- Entity type
- Organization
- Primary specialty
- End-Stage Renal Disease (ESRD) Treatment Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Donovan Schultz, President(615) 327-3061
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2006-07-08
- Last updated
- 2023-10-05
- Certified
- 2023-10-05
Frequently asked questions
- What is Dialysis Clinic Inc.'s NPI number?
- Dialysis Clinic Inc.'s National Provider Identifier (NPI) is 1720011109, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Dialysis Clinic Inc.?
- Dialysis Clinic Inc. is classified in the NPPES registry as End-Stage Renal Disease (ESRD) Treatment Clinic/Center (Ambulatory Health Care Facilities).
- Where is Dialysis Clinic Inc. located?
- Dialysis Clinic Inc.'s practice location on file with NPPES is 11705 San Jose Blvd Ste 100, Jacksonville, FL 32223-1628.
- What is Dialysis Clinic Inc.'s phone number?
- The practice phone number listed in the NPPES registry for Dialysis Clinic Inc. is (904) 296-6362.
- Does Dialysis Clinic Inc. accept Medicare?
- Dialysis Clinic Inc. is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Dialysis Clinic Inc.?
- The authorized official listed on Dialysis Clinic Inc.'s NPPES record is Donovan Schultz, President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Dialysis Clinic Inc.'s NPI active?
- Yes — Dialysis Clinic Inc.'s NPI (1720011109) is active in the NPPES registry as of the last update on 2023-10-05.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.