Active NPI
Central Iowa Dialysis Partners LLC
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Des Moines, IA
On this page
- Key facts
- Authorized official
- Member of1
- Practitioners1
- Affiliated clinicians5
- Care Compare: Dialysis facility
- Laboratory certificates & supplier records
- Medicare participation
- Medicare enrollment records1
- National Provider Directory
- Specialties & licenses1
- Addresses
- Other identifiers1
- Other names1
- NPI Registry JSON
- Other providers in Des Moines, IA
- Sources for this page
Key facts
NPPES NPI Registry- Primary specialty
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Legal business name
- CENTRAL IOWA DIALYSIS PARTNERS LLC
- Practice address
- 1201 Pennsylvania Ave
Des Moines, IA 50316-2339 - Phone
- (515) 783-6342
- Fax
- (319) 253-3792
- NPI assigned
- Mar 1, 2006
- Organization subpart
- No
Authorized official
NPPES NPI Registry- Name
- Samuel T Wey
- Title
- VP Licensure & Certification
- Phone
- (615) 341-6641
Member of 1
Organizations this organization is a member of, according to the National Provider Directory.
-
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Bourbonnais, IL
- NPI 1073675138
Member Of
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Nephrology Physician
- Des Moines, IA
- NPI 1780647537
Affiliated clinicians 5
Clinicians who list this facility as an affiliation in Medicare Care Compare.
Care Compare: Dialysis facility
Medicare Care Compare- Listed as
- DaVita East Des Moines Dialysis
- Overall star rating
- Ownership
- Profit
- Certified
- May 11, 2005
- Medicare certification status
- Active
- Chain
- DaVita
- 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 NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 16D1036002 | East Des Moines Dialysis | Certificate of waiver | Jan 17, 2027 |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IA
Medicare enrollment records 1
Medicare enrollment files| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20050727000092 | IA | Part a Provider - End-Stage Renal Disease Facility (ESRD) | 9739117235 | Practice locations: Des Moines, IA |
National Provider Directory
National Provider DirectoryLocations
1301 Pennsylvania Ave
#208E
Des Moines, IA 50316
Phone (515) 262-5995
Specialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| End-Stage Renal Disease (ESRD) Treatment Clinic/Center | 261QE0700X | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
1201 Pennsylvania Ave
Des Moines, IA 50316-2339
Mailing address
5200 Virginia Way
L&C Dept
Brentwood, TN 37027-7569
Phone (615) 341-6814
Other identifiers 1
NPPES NPI Registry| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0620005 | Medicaid | IA |
Other names 1
NPPES NPI Registry- East Des Moines Dialysis
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Sep 25, 2024.
{
"created_epoch": "1141171200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1727222400000",
"number": "1922075670",
"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",
"telephone_number": "615-341-6814",
"fax_number": "800-293-8405"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1201 PENNSYLVANIA AVE",
"city": "DES MOINES",
"state": "IA",
"postal_code": "503162339",
"telephone_number": "515-783-6342",
"fax_number": "319-253-3792"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CENTRAL IOWA DIALYSIS PARTNERS LLC",
"organizational_subpart": "NO",
"enumeration_date": "2006-03-01",
"last_updated": "2024-09-25",
"certification_date": "2024-09-25",
"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": "0620005",
"state": "IA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "East Des Moines Dialysis",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "East Des Moines Dialysis",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Des Moines, IA
- Paulene Cay
- Celebraces Highland Park PLLC
- Center for Behavioral Health Iowa LLC
- Centers for Long Term Care of Iowa, Inc
- Central Health Chiropractic Inc
- Central Iowa Eye Associates, P.C.
- Central Iowa Health System
- Central Iowa Hospital Corp.
- Central Iowa Hospital Corporation
- Central Iowa Hospital Corporation
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 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.