JWDR Dialysis, PLLC

Primary specialty

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

Legal business name

JWDR DIALYSIS, PLLC

Practice address

1500 Delhi St Ste 2100
Dubuque, IA 52001-6319

Phone

(563) 589-4033

Fax

(563) 556-1028

NPI assigned

Apr 16, 2025

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. John E Whalen, MD

Title

President

Phone

(563) 590-1300

Specialties & licenses 2

Addresses

Other names 1

• Tri State Dialysis Doing business as

Medicare fee-for-service enrollment

Enrolled in IA2 enrollments

Enrollment records 2

Other NPIs with the same Medicare PAC ID 3

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

• JWDR Dialysis, PLLC

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Manchester, IA
  • NPI 1063205649

  9133631716

  Same PAC ID
• JWDR Dialysis, PLLC

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Richland Center, WI
  • NPI 1134912710

  9133631716

  Same PAC ID
• JWDR Dialysis, PLLC

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Platteville, WI
  • NPI 1841083425

  9133631716

  Same PAC ID

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• JWDR Dialysis, PLLC

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Manchester, IA
  • NPI 1063205649

  O20250630004177

  Same enrollment

Locations

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

{
    "created_epoch": "1744761600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1747180800000",
    "number": "1124814280",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1500 DELHI ST STE 2100",
            "city": "DUBUQUE",
            "state": "IA",
            "postal_code": "520016319",
            "telephone_number": "563-589-4033",
            "fax_number": "563-556-1028"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 DELHI ST STE 2100",
            "city": "DUBUQUE",
            "state": "IA",
            "postal_code": "520016319",
            "telephone_number": "563-589-4033",
            "fax_number": "563-556-1028"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JWDR DIALYSIS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-04-16",
        "last_updated": "2025-05-14",
        "certification_date": "2025-05-14",
        "status": "A",
        "authorized_official_last_name": "WHALEN",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "563-590-1300",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Nephrology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "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": "Tri State Dialysis",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Tri State Dialysis",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jeremy Jordan
• Gerald Thomas Jorgensen, PH.D.
• Preeti Mary Joseph, MD
• Julia Updegraff Counseling LLC
• Sarah A Justmann, A.R.N.P.
• Stacy Kaalberg, PHARMD
• Ankura Kadakia, DO
• Stacy Kaiser
• Anthony J Kalb Jr., DDS
• Kalli Kallman, PA-C

• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Dubuque, IA
• Providers in Dubuque, IA by specialty
• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.