Amery Dialysis LLC

Primary specialty

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

Legal business name

AMERY DIALYSIS LLC

Doing business as

Amery Dialysis

Practice address

970 Elden Ave
Amery, WI 54001-1448

Phone

(715) 268-4288

Fax

(715) 827-9899

NPI assigned

Apr 4, 2008

Last updated

Sep 3, 2024By the provider in NPPES

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 names 1

• Amery Dialysis Doing business as

Medicare fee-for-service enrollment

Enrolled in WI

Enrollment records 1

Listed as

DaVita Amery DialysisCCN 522575

Overall star rating

3.0 of 5

Ownership

Profit

Certified

Aug 28, 2008

Medicare certification status

ActiveFrom the Provider of Services file

Chain

DaVita

Dialysis stations

14

Member of 2

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

• Amery Regional Medical Center, Inc.

  dba Amery Hospital & Clinic

  • Rural Health Clinic/Center
  • Amery, WI
  • NPI 1659927069

  Member Of

  NPD member
• Total Renal Care Inc

  dba Emporia Dialysis

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Emporia, KS
  • NPI 1033528708

  Member Of

  NPD member

Affiliated clinicians 3

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

• Chokchai Chareandee, MD

  • Nephrology Physician
  • Saint Paul, MN
  • NPI 1730184078

  Dialysis facility

  Care Compare affiliation Name & address match
• Shannon Elizabeth Doyle, MD.

  • Internal Medicine Physician
  • Maplewood, MN
  • NPI 1326005679

  Dialysis facility

  Care Compare affiliation Name & address match
• Judson B. Pollock, M.D.

  • Nephrology Physician
  • Saint Paul, MN
  • NPI 1376591826

  Dialysis facility

  Care Compare affiliation Name & address match

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

{
    "created_epoch": "1207267200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1725321600000",
    "number": "1750554333",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5200 VIRGINIA WAY",
            "address_2": "ATTN: 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": "970 ELDEN AVE",
            "city": "AMERY",
            "state": "WI",
            "postal_code": "540011448",
            "telephone_number": "715-268-4288",
            "fax_number": "715-827-9899"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMERY DIALYSIS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-04",
        "last_updated": "2024-09-03",
        "certification_date": "2024-09-03",
        "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": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Amery Dialysis",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Amery Dialysis",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• A K Karpenski LLC (Home Health Resources)
• A Touch of Life Inc.
• Nada Abouelnaga, DPT
• Michael A Albano, D.O.
• Amery Chiropractic LLC
• Amery Regional Medical Center (Johnson Drug at Armc)
• Amery Regional Medical Center
• Amery Regional Medical Center, Inc (Amery Community Pharmacy)
• Amery Regional Medical Center, Inc.
• Amery Regional Medical Center, Inc. (Amery Hospital & Clinic)

• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Amery, WI
• Providers in Amery, WI by specialty
• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2024; 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.