STURGEON BAY DIALYSIS
NPI 1104196047
Clinic/Center - End-Stage Renal Disease (ESRD) Treatment in Sturgeon Bay, WI

Active since January 10, 2012CLIA 52D1012900 · Waiver
4/5
Overall Rating
108 S 10TH AVE, STURGEON BAY, WI 54235(920) 746-7955(920) 746-7974 Get Directions Write a Review

NPPES record last updated: August 15, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 15, 2024, Mar 26, 2020, Jul 31, 2019 (3 updates tracked since 2019).

About Sturgeon Bay Dialysis NPPES

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

STURGEON BAY DIALYSIS (NPI 1104196047) is a healthcare organization registered as an end-stage renal disease (esrd) treatment in Sturgeon Bay, Wisconsin and active in the NPI registry since January 2012. The organization holds a CLIA Waiver certificate valid through May 22, 2027 and lists Samuel T Wey, Vp Licensure & Certification, as its authorized official.

NPPES Registry Identity

NPI1104196047
Entity TypeOrganization
Primary Taxonomy261QE0700X
Legal Business NameTOTAL RENAL CARE INC
Location Address108 S 10TH AVESturgeon Bay, WI 54235-1802
Mailing Address5200 Virginia Way, L&c DeptBrentwood, TN 37027-7569
Fax(920) 746-7974
Organization SubpartNo
Authorized OfficialSamuel T WeyVp Licensure & Certification · (615) 341-6641
Enumeration DateJanuary 10, 2012
Last NPPES UpdateAugust 15, 20243 updates tracked since enumeration
NPPES CertifiedAugust 15, 2024
NPI 1104196047 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
108 S 10TH AVE, Sturgeon Bay, WI 54235

Other Names 1

Doing Business AsSturgeon Bay Dialysis

Other Identifiers 1

Medicaid1104196047WI

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 52D1012900

Sturgeon Bay Dialysis · Sturgeon Bay, WI
Active · expires May 22, 2027
CLIA Number52D1012900
Laboratory TypeEnd Stage Renal Disease Dialysis Facility
Certificate Effective DateMay 23, 2025
Certificate Expiration DateMay 22, 2027
Laboratory DirectorSyed A. Shah
Laboratory Phone(920) 746-7955
Laboratory LocationSturgeon Bay Dialysis108 S 10th Ave, Sturgeon Bay, WI 54235
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Dialysis Facility Quality Ratings CMS Care Compare

Quality ratings, services and patient survey results for DaVita Sturgeon Bay Dialysis (CMS certification number 522556), from CMS Care Compare.

DaVita Sturgeon Bay Dialysis

Dialysis facility · Sturgeon Bay, WI
4/5 CMS RatingRating period January 2020 to December 2023
OwnershipProfit
ChainDaVita
CMS Certification Number522556
ESRD NetworkNetwork 11
Hemodialysis Stations8
Medicare-Certified SinceJuly 10, 2003
Location108 SOUTH 10TH AVENUESturgeon Bay, WI 54235 · Door County
Services Offered
In-center hemodialysis Peritoneal dialysis Evening shifts (after 5 PM)

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Clinic/Center (End-Stage Renal Disease (ESRD) Treatment)
108 S 10TH AVE
STURGEON BAY, WI 54235

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Total Renal Care Inc's NPI number?

The NPI number for Total Renal Care Inc is 1104196047. It was assigned to this organization in the NPPES registry on January 10, 2012. The provider is doing business as Sturgeon Bay Dialysis.

Where is Total Renal Care Inc located?

Total Renal Care Inc is located at 108 S 10th Ave, Sturgeon Bay, WI 54235. The listed phone number is (920) 746-7955.

What is Total Renal Care Inc's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in End-Stage Renal Disease (ESRD) Treatment, with taxonomy code 261QE0700X.

Does Total Renal Care Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 52D1012900) is associated with this NPI, valid through May 22, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

Is Total Renal Care Inc a Medicare-certified dialysis facility?

Yes. DaVita Sturgeon Bay Dialysis is a Medicare-certified dialysis facility, certified since July 10, 2003.

What quality rating does Total Renal Care Inc have?

CMS rates DaVita Sturgeon Bay Dialysis 4 out of 5 stars on Care Compare. The full measure detail is in the Dialysis Facility Quality section above.

What insurance does Total Renal Care Inc accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Home State Health, Anthem Blue Cross and Blue Shield and HealthPartners and 2 other insurers list Total Renal Care Inc as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Total Renal Care Inc was last updated on August 15, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.