Hegan Dialysis, LLC

Primary specialty

End-Stage Renal Disease (ESRD) Treatment Clinic/CenterTaxonomy code 261QE0700X

Legal business name

HEGAN DIALYSIS, LLC

Doing business as

Orem Dialysis

Practice address

490 S State St
Orem, UT 84058-6302

Phone

(385) 314-3554

Fax

(385) 314-3585

NPI assigned

Nov 11, 2019

Organization subpart

No

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

Addresses

Other names 1

• Orem Dialysis Doing business as

Medicare fee-for-service enrollment

Enrolled in UT

Enrollment records 1

Listed as

DaVita Orem DialysisCCN 462555

Overall star rating

3.0 of 5

Ownership

Profit

Certified

Apr 7, 2020

Medicare certification status

ActiveFrom the Provider of Services file

Chain

DaVita

Dialysis stations

11

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Member of 2

Organizations this organization is a member of, according to the National Provider Directory.

• Revere Health PC

  dba Revere Health

  • Orthopaedic Surgery Physician
  • Salem, UT
  • NPI 1942233986

  Member Of

  NPD member
• Total Renal Care Inc

  dba Edgewater Dialysis

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Rockfrd, IL
  • NPI 1154997591

  Member Of

  NPD member

Networks

• UT PPO D-SNPPlans: DEVOTED DUAL CHOICE FULL 004 UT (PPO D-SNP) (H4473-004-000, H4473)

Affiliated clinicians 3

Clinicians who list this facility as an affiliation in Medicare Care Compare.

• William E Barager Jr., DO

  • Nephrology Physician
  • Provo, UT
  • NPI 1962444638

  Dialysis facility

  Care Compare affiliation Name & address match
• David George Barlow, DO

  • Nephrology Physician
  • Provo, UT
  • NPI 1841854528

  Dialysis facility

  Care Compare affiliation Name & address match
• Vishnupriyadevi Parvathareddy, MD

  • Nephrology Physician
  • Murray, UT
  • NPI 1073530549

  Dialysis facility

  Care Compare affiliation Name & address match

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1573430400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1730073600000",
    "number": "1053956391",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5200 VIRGINIA WAY",
            "address_2": "ATTN: 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": "490 S STATE ST",
            "city": "OREM",
            "state": "UT",
            "postal_code": "840586302",
            "telephone_number": "385-314-3554",
            "fax_number": "385-314-3585"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEGAN DIALYSIS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-11-11",
        "last_updated": "2024-10-28",
        "certification_date": "2024-10-28",
        "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": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Orem Dialysis",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Orem Dialysis",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Cameron Jo Heaton, CSW
• Jessie Heaton
• Tamlyn Bodine Heaton, MS LMFT
• Whitney Ann Hebbert, LMFT
• Cameron Hee
• Heidi Fox Counseling PLLC
• Janee Donaldson Heimdal, CMHC
• Emily Hein
• Hanna Heiner, LCSW
• Lisa Heiner

• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Orem, UT
• Providers in Orem, UT by specialty
• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2024; 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.

Verify at the official NPI Registry.