HAMPTON AVENUE DIALYSIS
NPI 1073574794
Clinic/Center - End-Stage Renal Disease (ESRD) Treatment in Saint Louis, MO

Active since March 31, 2006CLIA 26D1019244 · Waiver
2/5
Overall Rating
1425 HAMPTON AVE, SAINT LOUIS, MO 63139(314) 781-4022(314) 781-4063 Get Directions Write a Review

NPPES record last updated: October 18, 2024. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Jul 31, 2024, Oct 24, 2023, Aug 29, 2023 and 2 more (5 updates tracked since 2020).

About Hampton Avenue Dialysis NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

HAMPTON AVENUE DIALYSIS (NPI 1073574794) is a healthcare organization registered as an end-stage renal disease (esrd) treatment in Saint Louis, Missouri and active in the NPI registry since March 2006. The organization holds a CLIA Waiver certificate valid through November 12, 2027 and lists Samuel T Wey, Vp Licensure & Certification, as its authorized official.

NPPES Registry Identity

NPI1073574794
Entity TypeOrganization
Primary Taxonomy261QE0700X
Legal Business NameRENAL TREATMENT CENTERS-ILLINOIS INC
Location Address1425 HAMPTON AVESaint Louis, MO 63139-3115
Mailing Address5200 Virginia Way, L&c DeptBrentwood, TN 37027-7569
Fax(314) 781-4063
Organization SubpartNo
Authorized OfficialSamuel T WeyVp Licensure & Certification · (615) 341-6641
Enumeration DateMarch 31, 2006
Last NPPES UpdateOctober 18, 20245 updates tracked since enumeration
NPPES CertifiedOctober 18, 2024
NPI 1073574794 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · End-Stage Renal Disease (ESRD) TreatmentAmbulatory Health Care Facilities
Taxonomy Code261QE0700X
1425 HAMPTON AVE, Saint Louis, MO 63139

Other Names 1

Doing Business AsHampton Avenue Dialysis

Other Identifiers 1

Medicaid507403301MO

Accepted Insurance

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 26D1019244

Hampton Avenue Dialysis · Saint Louis, MO
Active · expires Nov 12, 2027
CLIA Number26D1019244
Laboratory TypeEnd Stage Renal Disease Dialysis Facility
Certificate Effective DateNovember 13, 2025
Certificate Expiration DateNovember 12, 2027
Laboratory DirectorSvetha Chunduri
Laboratory Phone(253) 272-1916
Laboratory LocationHampton Avenue Dialysis1425 Hampton Avenue, Saint Louis, MO 63139
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Dialysis Facility Compare Information

Quality of Patient Care Rating Quality of Patient Care Rating
The Medicare program calculates star ratings using specific measure data reported by dialysis centers to Medicare and data from the In-Center Hemodialysis CAHPS Survey.
- 2 out of 5 stars - A Below Average
Dialysis Facility TypeProfit
Is it part of a chain?Yes
Corporate NameDaVita
Shifts Starting After 5PM Shifts Starting After 5PM
If you can start your dialysis treatment at 5pm or later. These centers may also offer the ability for you to receive dialysis while you sleep.
No
In-Center Hemodialysis In-Center Hemodialysis
Hemodialysis is the most common method for treating advanced and permanent kidney failure. In hemodialysis, your blood flows slowly through a filter to remove wastes and extra fluids and the clean blood is returned to your body.
Yes
Number of Hemodialysis Stations Number of Hemodialysis Stations
The number of hemodialysis stations in the dialysis facility.
12
Peritoneal Dialysis Peritoneal Dialysis
Peritoneal dialysis is a treatment for kidney failure that uses the lining of your abdomen, or belly, to filter your blood inside your body. It uses a soft tube to fill your abdomen with a cleansing liquid that removes waste products from your body and the liquid is drained out of your body after a few hours.
No
Home Hemodialysis Training Home Hemodialysis Training
If the dialysis center offers training for patients and caregivers to learn to do hemodialysis treatments at home.
No
Certification or Recertification Date03-17-2004

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1073574794, enumerated as an "organization" on March 31, 2006.

The provider is located at 1425 HAMPTON AVE SAINT LOUIS, MO 63139 and the phone number is (314) 781-4022.

Clinic/Center with taxonomy code 261QE0700X and a focus in End-Stage Renal Disease (ESRD) Treatment.

The provider might be accepting Accepts: Ambetter from Arkansas Health & Wellness, Ambetter. Please consult your insurance carrier or call the provider to verify.