Organization Active NPI

Monteer Dialysis LLC

Doing business as Renal Center of Storm Lake

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Storm Lake, IA
National Provider Identifier
1245082981
Registry record updated Feb 3, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
End-Stage Renal Disease (ESRD) Treatment Clinic/CenterTaxonomy code 261QE0700X
Legal business name
MONTEER DIALYSIS LLC
Doing business as
Renal Center of Storm Lake
Practice address
1515 Lake Ave Ste 1
Storm Lake, IA 50588-2014
Phone
(712) 272-2010
Fax
(712) 272-2113
NPI assigned
Apr 4, 2024
Last updated
Feb 3, 2026By the provider in NPPES
Organization subpart
Yes
Parent organization
DAVITA INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Feb 3, 2026

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 and Certification
Phone
(615) 341-6691

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
End-Stage Renal Disease (ESRD) Treatment Clinic/Center 261QE0700X Primary

Addresses

Primary practice location

1515 Lake Ave Ste 1
Storm Lake, IA 50588-2014

Mailing address

5200 Virginia Way
Brentwood, TN 37027-7569

Other names 1

  • Renal Center of Storm Lake Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240712001775 IA Part A Provider - End-Stage Renal Disease Facility (ESRD) 0143765206 Practice locations: Storm Lake, IA

Care Compare: Dialysis facility

Medicare Care Compare
Listed as
DaVita Renal Center of Storm LakeCCN 162518
Overall star rating
4.0 of 5
Ownership
Profit
Certified
May 27, 1999
Medicare certification status
ActiveFrom the Provider of Services file
Chain
DaVita
Dialysis stations
16

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 NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
16D0960016Renal Center of Storm Lake1515 Lake Ave Ste 1, Storm Lake, IA 50588Certificate of waiverApr 26, 2027

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.

Locations

1426 Lake Ave
Storm Lake, IA 50588
Phone (712) 732-6900

1515 Lake Ave
Ste 1
Storm Lake, IA 50588
Phone (712) 272-2010

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.

NPI Registry JSON

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

{
    "created_epoch": "1712188800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1770076800000",
    "number": "1245082981",
    "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": "1515 LAKE AVE STE 1",
            "city": "STORM LAKE",
            "state": "IA",
            "postal_code": "505882014",
            "telephone_number": "712-272-2010",
            "fax_number": "712-272-2113"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MONTEER DIALYSIS LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "DAVITA INC",
        "enumeration_date": "2024-04-04",
        "last_updated": "2026-02-03",
        "certification_date": "2026-02-03",
        "status": "A",
        "authorized_official_last_name": "WEY",
        "authorized_official_first_name": "SAMUEL",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "VP, LICENSURE AND CERTIFICATION",
        "authorized_official_telephone_number": "615-341-6691"
    },
    "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": "Renal Center of Storm Lake",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Storm Lake, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2026; 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.