NPIMap

Organization Active NPI

Dialysis Clinic Inc

Doing business as DCI Wexford

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Sewickley, PA
National Provider Identifier
1407479124
Registry record updated Oct 4, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
End-Stage Renal Disease (ESRD) Treatment Clinic/CenterTaxonomy code 261QE0700X
Legal business name
DIALYSIS CLINIC INC
Doing business as
DCI Wexford
Practice address
1603 Carmody CT Ste 103
Sewickley, PA 15143-8859
Phone
(878) 332-5252
Fax
(878) 332-5253
NPI assigned
May 28, 2020
Last updated
Oct 4, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 4, 2023

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

Authorized official

Name
Donovan Schultz
Title
President
Phone
(615) 327-3061

Specialties & licenses 1

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

Addresses

Primary practice location

1603 Carmody CT Ste 103
Sewickley, PA 15143-8859

Mailing address

1633 Church St
Nashville, TN 37203-2990
Phone (615) 971-1265

Other names 1

  • DCI Wexford Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200609000261 PA Part A Provider - End-Stage Renal Disease Facility (ESRD) 4284541129 Practice locations: Sewickley, PA

Care Compare: Dialysis facility

Medicare Care Compare
Listed as
DCI WexfordCCN 392898
Ownership
Non-profit
Certified
Sep 30, 2020
Medicare certification status
ActiveFrom the Provider of Services file
Chain
Dialysis Clinic, Inc.

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
39D2191742Dialysis Clinic Inc1603 Carmody CT, Blaymore II, Suite 103, Sewickley, PA 15143Certificate of waiverAug 31, 2026

National Provider Directory

National Provider Directory
Tax ID family
Dialysis Clinic Inc238 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 20

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 20

Locations

1603 Carmody Ct
Ste 103
Sewickley, PA 15143
Phone (724) 940-7546

1633 Church St
Nashville, TN 37203
Phone (615) 329-1812

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Rancho Dialysis ClinicSacramento, CA, CCN 552519 Rural health clinic 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control (100%)		 Dec 24, 2003
Dec 24, 2003

Practitioners & affiliated clinicians

Affiliated clinicians 1

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

NPI Registry JSON

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

{
    "created_epoch": "1590624000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1696377600000",
    "number": "1407479124",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1633 CHURCH ST",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372032990",
            "telephone_number": "615-971-1265",
            "fax_number": "615-963-9730"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1603 CARMODY CT STE 103",
            "city": "SEWICKLEY",
            "state": "PA",
            "postal_code": "151438859",
            "telephone_number": "878-332-5252",
            "fax_number": "878-332-5253"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIALYSIS CLINIC INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-05-28",
        "last_updated": "2023-10-04",
        "certification_date": "2023-10-04",
        "status": "A",
        "authorized_official_last_name": "SCHULTZ",
        "authorized_official_first_name": "DONOVAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "615-327-3061"
    },
    "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": "DCI Wexford",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "DCI Wexford",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Sewickley, PA

Sources for this page

Verify at the official NPI Registry.