Active NPI
Codona Dialysis, LLC
Doing business as Manatee Bay Dialysis
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Bradenton, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Legal business name
- CODONA DIALYSIS, LLC
- Doing business as
- Manatee Bay Dialysis
- Practice address
- 109 44TH Ave E Ste 100
Bradenton, FL 34203-3640 - Phone
- (615) 320-4283
- NPI assigned
- Aug 11, 2022
- Last updated
- Nov 14, 2025
- Organization subpart
- Yes
- Parent organization
- DAVITA INC
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
109 44TH Ave E Ste 100
Bradenton, FL 34203-3640
Mailing address
5200 Virginia Way
Brentwood, TN 37027-7569
Other names 1
- Manatee Bay Dialysis
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20230422000324 | FL | Part A Provider - End-Stage Renal Disease Facility (ESRD) | 9234594458 | Practice locations: Bradenton, FL |
Care Compare: Dialysis facility
Medicare Care Compare- Listed as
- DaVita Manatee Bay
- Overall star rating
- Ownership
- Profit
- Certified
- May 26, 2023
- Medicare certification status
- Active
- Chain
- DaVita
- Dialysis stations
- 11
Name & address match This facility record has no NPI; it was connected to this NPI by matching name and address.
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 10D2274191 | Manatee Bay Dialysis | Certificate of waiver | Dec 27, 2026 |
National Provider Directory
National Provider Directory- Part of
- Davita Inc
Member of 1
Organizations this organization is a member of, according to the National Provider Directory.
-
dba Kenwood Dialysis
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Chicago, IL
- NPI 1831896364
Member Of
Locations
109 44th Ave E
Ste 100
Bradenton, FL 34203
Phone (615) 320-4283
Networks
- Freedom Health HMO Network
- Optimum HealthCare HMO Network
Interoperability endpoints
- https://fhir-myrecord.cerner.com/r4/3b23ba82-4045-4c42-b34e-b749fc14463d/
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Nephrology Physician
- Hudson, FL
- NPI 1225023716
Affiliated clinicians 3
Clinicians who list this facility as an affiliation in Medicare Care Compare.
-
- Nephrology Physician
- Lakewood Ranch, FL
- NPI 1356504294
Dialysis facility
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1660176000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1763078400000",
"number": "1093443640",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5200 VIRGINIA WAY",
"city": "BRENTWOOD",
"state": "TN",
"postal_code": "370277569"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "109 44TH AVE E STE 100",
"city": "BRADENTON",
"state": "FL",
"postal_code": "342033640",
"telephone_number": "615-320-4283"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CODONA DIALYSIS, LLC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "DAVITA INC",
"enumeration_date": "2022-08-11",
"last_updated": "2025-11-14",
"certification_date": "2025-11-14",
"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": "Manatee Bay Dialysis",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Manatee Bay Dialysis",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Bradenton, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 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.