OKLAHOMA CITY SOUTH DIALYSIS
NPI 1124080486
Clinic/Center - End-Stage Renal Disease (ESRD) Treatment in Oklahoma City, OK

Q: What is DVA Healthcare Renal Care Inc's NPI number?

The NPI number for DVA Healthcare Renal Care Inc is 1124080486. It was assigned to this organization in the NPPES registry on April 3, 2006. The provider is doing business as Oklahoma City South Dialysis.

Q: What is DVA Healthcare 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.

Q: What quality rating does DVA Healthcare Renal Care Inc have?

CMS rates DaVita Oklahoma City South Dialysis 2 out of 5 stars on Care Compare. The full measure detail is in the Dialysis Facility Quality section above.

Active since April 03, 2006CLIA 37D0870608 · Waiver

2/5

Overall Rating

319 SW 59TH ST, OKLAHOMA CITY, OK 73109(405) 634-3708(405) 636-1211 Get Directions Write a Review

NPPES record last updated: December 19, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Dec 19, 2024, May 31, 2023, Dec 23, 2020 and 1 more (4 updates tracked since 2019).

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About Oklahoma City South Dialysis NPPES

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

OKLAHOMA CITY SOUTH DIALYSIS (NPI 1124080486) is a healthcare organization registered as an end-stage renal disease (esrd) treatment in Oklahoma City, Oklahoma and active in the NPI registry since April 2006. The organization holds a CLIA Waiver certificate valid through August 31, 2026 and lists Samuel T Wey, Vp Licensure & Certification, as its authorized official.

NPPES Registry Identity

NPI1124080486

Entity TypeOrganization

Primary Taxonomy261QE0700X

Legal Business NameDVA HEALTHCARE RENAL CARE INC

Location Address319 SW 59TH STOklahoma City, OK 73109-8301

Mailing Address5200 Virginia Way, L&c DeptBrentwood, TN 37027-7569

Phone(405) 634-3708

Fax(405) 636-1211

Organization SubpartNo

Authorized OfficialSamuel T WeyVp Licensure & Certification · (615) 341-6641

Enumeration DateApril 3, 2006

Last NPPES UpdateDecember 19, 20244 updates tracked since enumeration

NPPES CertifiedDecember 19, 2024

✔ NPI 1124080486 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

319 SW 59TH ST, Oklahoma City, OK 73109

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Other Names 1

Doing Business AsOklahoma City South Dialysis

Other Identifiers 1

Medicaid100757220BOK

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Sunflower Health Plan and more.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 37D0870608

Oklahoma City South Dialysis · Oklahoma City, OK

Active · expires Aug 31, 2026

CLIA Number37D0870608

Laboratory TypeEnd Stage Renal Disease Dialysis Facility

Certificate Effective DateSeptember 1, 2024

Certificate Expiration DateAugust 31, 2026

Laboratory DirectorUsman Bhutta

Laboratory Phone(405) 634-3708

Laboratory LocationOklahoma City South Dialysis319 SW 59th Street, Oklahoma City, OK 73119

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 Oklahoma City South Dialysis (CMS certification number 372518), from CMS Care Compare.

DaVita Oklahoma City South Dialysis

Dialysis facility · Oklahoma City, OK

2/5 CMS RatingRating period January 2020 to December 2023

OwnershipProfit

ChainDaVita

CMS Certification Number372518

ESRD NetworkNetwork 13

Hemodialysis Stations16

Medicare-Certified SinceAugust 13, 1992

Location319 SW 59TH STREETOklahoma City, OK 73109 · Oklahoma County

Phone(405) 634-3708

Services Offered

In-center hemodialysis

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 DVA Healthcare Renal Care Inc's NPI number?

The NPI number for DVA Healthcare Renal Care Inc is 1124080486. It was assigned to this organization in the NPPES registry on April 3, 2006. The provider is doing business as Oklahoma City South Dialysis.

Where is DVA Healthcare Renal Care Inc located?

DVA Healthcare Renal Care Inc is located at 319 SW 59th St, Oklahoma City, OK 73109. The listed phone number is (405) 634-3708.

What is DVA Healthcare 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 DVA Healthcare Renal Care Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 37D0870608) is associated with this NPI, valid through August 31, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

Is DVA Healthcare Renal Care Inc a Medicare-certified dialysis facility?

Yes. DaVita Oklahoma City South Dialysis is a Medicare-certified dialysis facility, certified since August 13, 1992.

What quality rating does DVA Healthcare Renal Care Inc have?

CMS rates DaVita Oklahoma City South Dialysis 2 out of 5 stars on Care Compare. The full measure detail is in the Dialysis Facility Quality section above.

What insurance does DVA Healthcare Renal Care Inc accept?

Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Sunflower Health Plan and Ambetter from Superior HealthPlan and 10 other insurers list DVA Healthcare 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 DVA Healthcare Renal Care Inc was last updated on December 19, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.