JWDR Dialysis, PLLC

Primary specialty

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

Legal business name

JWDR DIALYSIS, PLLC

Doing business as

Tri State Dialysis

Practice address

1500 Delhi St Ste 2100
Dubuque, IA 52001-6319

Phone

(563) 589-4033

Fax

(563) 556-1028

NPI assigned

Apr 16, 2025

Last updated

May 14, 2025By the provider in NPPES

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, MDNPI 1285694802

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

  dba Tri State Dialysis

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

  9133631716

  Same PAC ID
• JWDR Dialysis, PLLC

  dba Tri State Dialysis

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

  9133631716

  Same PAC ID
• JWDR Dialysis, PLLC

  dba Tri State Dialysis

  • 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

  dba Tri State Dialysis

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

  O20250630004177

  Same enrollment

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.

• John Emmett Whalen, M.D.

  • Nephrology Physician
  • Dubuque, IA
  • NPI 1285694802
  Authorized official Same address or phone

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.