Ambler Dialysis LLC
Organization Active NPI End-Stage Renal Disease (ESRD) Treatment Clinic/Center · Beloit, WI
NPI 1508728171 · NPPES record last updated Jan 2, 2026
Key facts
- NPI
- 1508728171
- Entity type
- Organization (NPI type 2)
- Primary specialty
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center 261QE0700X
- Legal business name
- AMBLER DIALYSIS LLC
- Practice address
- 1969 W Hart Rd
Beloit, WI 53511-2230 - Phone
- (608) 364-5580
- Fax
- (608) 364-5306
- NPI assigned
- Dec 2, 2025
- Organization subpart
- Yes
- Parent organization (as reported)
- DAVITA INC
Authorized official
- Name
- Samuel T Wey
- Title
- VP, Licensure & Certification
- Phone
- (615) 341-6641
Member of 1
Medicare Care Compare: Dialysis facility
- Listed as
- DaVita Beloit Dialysis
- Ownership
- Profit
- Certified
- Dec 31, 2025
- Medicare certification status
- Active
- Chain
- DaVita
- Dialysis stations
- 18
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in WI
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20260113000939 | WI | Part a Provider - End-Stage Renal Disease Facility (ESRD) | 9739665431 | Practice locations: Beloit, WI |
National Provider Directory
- Part of
- Davita Inc
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| End-Stage Renal Disease (ESRD) Treatment Clinic/Center | 261QE0700X | Yes |
Addresses
Primary practice location
1969 W Hart Rd
Beloit, WI 53511-2230
Mailing address
5200 Virginia Way
Licensure & Certification Dept
Brentwood, TN 37027-7569
Other providers in Beloit, WI
- Jordyn Algiers
- Osama Ali
- Aligned and Grounded Therapy LLC
- Brenda Jean Allen
- Melissa A. Amberger
- Gregory Arthur Ammon
- Laura Cathleen Anastasi
- Christopher J Anderson
- Lindsey Anderson
- Lisa Anderson
All providers in Beloit, WI · End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Wisconsin
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 2, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.