Wallips Dialysis, LLC

Primary specialty

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

Legal business name

WALLIPS DIALYSIS, LLC

Practice address

1117 Hazel St
Dialysis Unit
Pella, IA 50219-1338

Phone

(641) 628-8826

Fax

(641) 628-8830

NPI assigned

Apr 5, 2017

Organization subpart

No

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 & Certification

Phone

(615) 341-6641

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Pella Dialysis Doing business as

Medicare fee-for-service enrollment

Enrolled in IA

Enrollment records 1

Listed as

DaVita Pella DialysisCCN 162566

Overall star rating

5.0 of 5

Ownership

Profit

Certified

Apr 1, 2017

Medicare certification status

ActiveFrom the Provider of Services file

Chain

DaVita

Dialysis stations

9

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

CLIA laboratory certificates

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• Renal Treatment Centers-Illinois Inc

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Bourbonnais, IL
  • NPI 1073675138

  Member Of

  NPD member

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Catherine Elaine Pollock, RD LD

  • Registered Dietitian
  • Pella, IA
  • NPI 1356970248
  NPD (past)

Affiliated clinicians 4

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

• Arsalan Ahmad Alvi, MD

  • Nephrology Physician
  • Des Moines, IA
  • NPI 1972099570

  Dialysis facility

  Care Compare affiliation Name & address match
• Mark Miller Belz, MD

  • Nephrology Physician
  • Des Moines, IA
  • NPI 1427012061

  Dialysis facility

  Care Compare affiliation Name & address match
• Johann Peter Schmolck, MD

  • Nephrology Physician
  • Des Moines, IA
  • NPI 1629031471

  Dialysis facility

  Care Compare affiliation Name & address match
• Robert Nelson Smith, D.O.

  • Nephrology Physician
  • Des Moines, IA
  • NPI 1891746350

  Dialysis facility

  Care Compare affiliation Name & address match

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

{
    "created_epoch": "1491350400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1778716800000",
    "number": "1477086692",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5200 VIRGINIA WAY",
            "address_2": "L&C DEPT",
            "city": "BRENTWOOD",
            "state": "TN",
            "postal_code": "370277569"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1117 HAZEL ST",
            "address_2": "DIALYSIS UNIT",
            "city": "PELLA",
            "state": "IA",
            "postal_code": "502191338",
            "telephone_number": "641-628-8826",
            "fax_number": "641-628-8830"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WALLIPS DIALYSIS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-04-05",
        "last_updated": "2026-05-14",
        "certification_date": "2026-05-14",
        "status": "A",
        "authorized_official_last_name": "WEY",
        "authorized_official_first_name": "SAMUEL",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "VP, LICENSURE & CERTIFICATION",
        "authorized_official_telephone_number": "615-341-6641"
    },
    "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": "1477086692",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pella Dialysis",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Connie Louise Vos, PTA
• Libbie Nichole Vos, MS, CCC-SLP
• Jennifer L Wadle, PA-C
• Walgreen Co.
• Walgreen Co.
• Walmart Inc.
• Michael Gary Walsh, M.D.
• Madeline Webb, DC
• Joel A Weiler, DDS
• John David Welander, M.D.

• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Pella, IA
• Providers in Pella, 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, 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.