Active NPI
Rutland Dialysis LLC
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- New Britain, CT
National Provider Identifier
1033684063
On this page
Key facts
NPPES NPI Registry- Primary specialty
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Legal business name
- RUTLAND DIALYSIS LLC
- Doing business as
- New Britain Dialysis
- Practice address
- 100 Grand St
New Britain, CT 06052-2016 - Phone
- (860) 223-4603
- Fax
- (860) 223-4203
- NPI assigned
- Oct 5, 2018
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Samuel T Wey
- Title
- VP Licensure & Certification
- Phone
- (615) 341-6641
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| End-Stage Renal Disease (ESRD) Treatment Clinic/Center | 261QE0700X | Primary |
Addresses
Primary practice location
100 Grand St
New Britain, CT 06052-2016
Mailing address
5200 Virginia Way
L&C Dept
Brentwood, TN 37027-7569
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 008089439 | Medicaid | CT |
Other names 1
- New Britain Dialysis
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CT
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20181113003271 | CT | Part A Provider - End-Stage Renal Disease Facility (ESRD) | 1456605203 | Practice locations: New Britain, CT |
Care Compare: Dialysis facility
Medicare Care Compare- Listed as
- DaVita New Britain Dialysis
- Overall star rating
- Ownership
- Profit
- Certified
- Sep 30, 2018
- Medicare certification status
- Active
- Chain
- DaVita
- Dialysis stations
- 22
Name & address match This facility record has no NPI; it was connected to this NPI by matching name and address.
National Provider Directory
National Provider DirectoryMember of 2
Organizations this organization is a member of, according to the National Provider Directory.
-
- General Acute Care Hospital
- New Britain, CT
- NPI 1053477075
Member Of
-
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Rockfrd, IL
- NPI 1154997591
Member Of
Practitioners & affiliated clinicians
Affiliated clinicians 1
Clinicians who list this facility as an affiliation in Medicare Care Compare.
-
- Nephrology Physician
- New Britain, CT
- NPI 1821280793
Dialysis facility
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1538697600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1738108800000",
"number": "1033684063",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5200 VIRGINIA WAY",
"address_2": "L&C DEPT",
"city": "BRENTWOOD",
"state": "TN",
"postal_code": "370277569"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 GRAND ST",
"city": "NEW BRITAIN",
"state": "CT",
"postal_code": "060522016",
"telephone_number": "860-223-4603",
"fax_number": "860-223-4203"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "RUTLAND DIALYSIS LLC",
"organizational_subpart": "NO",
"enumeration_date": "2018-10-05",
"last_updated": "2025-01-29",
"certification_date": "2025-01-29",
"status": "A",
"authorized_official_last_name": "WEY",
"authorized_official_first_name": "SAMUEL",
"authorized_official_middle_name": "T",
"authorized_official_title_or_position": "VP LICENSURE & CERTIFICATION",
"authorized_official_telephone_number": "615-341-6641"
},
"taxonomies": [
{
"code": "261QE0700X",
"taxonomy_group": "",
"desc": "Clinic/Center, End-Stage Renal Disease (ESRD) Treatment",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "008089439",
"state": "CT"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "New Britain Dialysis",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "New Britain Dialysis",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in New Britain, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.