Mountain West Dialysis Services LLC

Primary specialty

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

Legal business name

MOUNTAIN WEST DIALYSIS SERVICES LLC

Doing business as

North Metro Dialysis Center

Practice address

12365 Huron St
Ste 500
Westminster, CO 80234-3498

Phone

(303) 451-9093

Fax

(303) 451-0561

NPI assigned

Sep 15, 2008

Last updated

Feb 7, 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 identifiers 1

Other names 1

• North Metro Dialysis Center Doing business as

Medicare fee-for-service enrollment

Enrolled in CO

Enrollment records 1

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

• Mountain West Dialysis Services LLC

  dba Parker Dialysis Center

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Parker, CO
  • NPI 1598921066

  0244303360

  Same PAC ID

Tax ID family

Mountain West Dialysis Services LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Mountain West Dialysis Services LLC

  dba Parker Dialysis Center

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Parker, CO
  • NPI 1598921066
  NPD tax ID

Member of 1

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

• Total Renal Care Inc

  dba Cerritos Dialysis

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Cerritos, CA
  • NPI 1255681011

  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, and the practitioner matching its NPPES authorized official.

• Monita Poudyal, MD

  • Nephrology Physician
  • Lafayette, CO
  • NPI 1205805470
  NPD (past)

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

{
    "created_epoch": "1221436800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1707264000000",
    "number": "1932358959",
    "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": "615-341-6264",
            "fax_number": "800-297-2925"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12365 HURON ST",
            "address_2": "STE 500",
            "city": "WESTMINSTER",
            "state": "CO",
            "postal_code": "802343498",
            "telephone_number": "303-451-9093",
            "fax_number": "303-451-0561"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOUNTAIN WEST DIALYSIS SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-09-15",
        "last_updated": "2024-02-07",
        "certification_date": "2024-02-07",
        "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": "01770071",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "North Metro Dialysis Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "North Metro Dialysis Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Grace Moua, RBT
• Mountain Range Dentistry
• Mountain States Pathology
• Mountain States Physicians LLP
• Mountain View Family Dental Westminster PLLC
• Mountainside Family Chiropractic PC
• Kelly Mozena, LCSW
• Cara L Mudd, DDS, MSD
• Jordan Muell, PA
• Kaitlyn Muhlbauer, PA

• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Westminster, CO
• Providers in Westminster, CO by specialty
• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.