Wallingford Dialysis Care LLC

Primary specialty

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

Legal business name

WALLINGFORD DIALYSIS CARE LLC

Practice address

720 N Main Street Ext Ste 3
Wallingford, CT 06492-2788

Phone

(203) 265-0667

Fax

(203) 265-0669

NPI assigned

Apr 29, 2015

Organization subpart

No

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

Authorized official

Name

Sara Anne Brady

Title

Chief Nursing Officer

Phone

(208) 371-7878

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CT

Enrollment records 1

Listed as

Wallingford Dialysis Care LLCCCN 072549

Overall star rating

5.0 of 5

Ownership

Profit

Certified

Jan 6, 2016

Medicare certification status

ActiveFrom the Provider of Services file

Chain

American Renal Associates

Dialysis stations

13

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

CLIA laboratory certificates

Locations

Affiliated clinicians 2

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

• Irfan Saeed Chughtai, M.D.

  • Nephrology Physician
  • Meriden, CT
  • NPI 1477538973

  Dialysis facility

  Care Compare affiliation Name & address match
• Thin Thin Soe, M.D.

  • Nephrology Physician
  • New York, NY
  • NPI 1073134169

  Dialysis facility

  Care Compare affiliation Name & address match

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

{
    "created_epoch": "1430265600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1784246400000",
    "number": "1366829343",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "720 N MAIN STREET EXT STE 3",
            "city": "WALLINGFORD",
            "state": "CT",
            "postal_code": "064922788",
            "telephone_number": "203-265-0667",
            "fax_number": "203-265-0669"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "720 N MAIN STREET EXT STE 3",
            "city": "WALLINGFORD",
            "state": "CT",
            "postal_code": "064922788",
            "telephone_number": "203-265-0667",
            "fax_number": "203-265-0669"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WALLINGFORD DIALYSIS CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-04-29",
        "last_updated": "2026-07-17",
        "certification_date": "2026-07-17",
        "status": "A",
        "authorized_official_last_name": "BRADY",
        "authorized_official_first_name": "SARA",
        "authorized_official_middle_name": "ANNE",
        "authorized_official_title_or_position": "CHIEF NURSING OFFICER",
        "authorized_official_telephone_number": "208-371-7878"
    },
    "taxonomies": [
        {
            "code": "261QE0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, End-Stage Renal Disease (ESRD) Treatment",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8063906",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Wal-Mart Stores East LP
• Wal-Mart Stores East, LP.
• Walgreen Co
• Allison Wall
• Wallingford Dental Associates
• Wallingford Endoscopy Center, LLC.
• Wallingford Eye Care Center P.C.
• Wallingford Medical Associates LLC
• Wallingford Optical, LLC
• Wallingford Physical Therapy

• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Wallingford, CT
• Providers in Wallingford, CT by specialty
• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 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.