Organization Active NPI

Pickaway Dialysis Center LLC

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Circleville, OH
National Provider Identifier
1487741609
Registry record updated Jul 10, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
End-Stage Renal Disease (ESRD) Treatment Clinic/CenterTaxonomy code 261QE0700X
Legal business name
PICKAWAY DIALYSIS CENTER LLC
Practice address
1180 N Court St
Suite E
Circleville, OH 43113-1397
Phone
(740) 477-2072
Fax
(740) 477-2074
NPI assigned
Oct 9, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 10, 2026

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

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

Addresses

Primary practice location

1180 N Court St
Suite E
Circleville, OH 43113-1397

Mailing address

1180 N Court St
Suite E
Circleville, OH 43113-1397
Phone (740) 477-2072

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20061211000023 OH Part A Provider - End-Stage Renal Disease Facility (ESRD) 4082613534 Practice locations: Circleville, OH

Care Compare: Dialysis facility

Medicare Care Compare
Listed as
Pickaway Dialysis CenterCCN 362697
Overall star rating
4.0 of 5
Ownership
Profit
Certified
Jun 8, 2007
Medicare certification status
ActiveFrom the Provider of Services file
Chain
American Renal Associates
Dialysis stations
12

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
36D1062931Pickaway Dialysis Center1180 North Court Street, Circleville, OH 43113Certificate of waiverJan 1, 2027

National Provider Directory

National Provider Directory

Locations

1180 N Court St
Ste E
Circleville, OH 43113
Phone (740) 477-2072

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": "1160352000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1783641600000",
    "number": "1487741609",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1180 N COURT ST",
            "address_2": "SUITE E",
            "city": "CIRCLEVILLE",
            "state": "OH",
            "postal_code": "431131397",
            "telephone_number": "740-477-2072",
            "fax_number": "740-477-2074"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1180 N COURT ST",
            "address_2": "SUITE E",
            "city": "CIRCLEVILLE",
            "state": "OH",
            "postal_code": "431131397",
            "telephone_number": "740-477-2072",
            "fax_number": "740-477-2074"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PICKAWAY DIALYSIS CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-09",
        "last_updated": "2026-07-10",
        "certification_date": "2026-07-10",
        "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": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Circleville, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 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.