SOUTHWEST KIDNEY DIALYSIS, LLC
NPI 1134178007
Clinic/Center - End-Stage Renal Disease (ESRD) Treatment in Tempe, AZ

NPI Status: Active since May 09, 2006

Contact Information

2149 E WARNER RD
SUITE 110
TEMPE, AZ
ZIP 85284
Phone: (480) 610-6170
Fax: (480) 610-6179

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  • Organization
  • Clinic/Center
  • End-Stage Renal Disease (ESRD) Treatment
  • Accepts Insurance
  • CLIA Number: 03D2116668
  • CLIA Cert. Type: Physician Office
  • CLIA Exp. Date: 07-28-2026

About SOUTHWEST KIDNEY DIALYSIS, LLC

This page provides the complete NPI Profile along with additional information for Southwest Kidney Dialysis, Llc, a provider established in Tempe, Arizona operating as a Clinic/center, focusing in end-stage renal disease (esrd) treatment . The healthcare provider is registered in the NPI registry with number 1134178007 assigned on May 2006. The practitioner's primary taxonomy code is 261QE0700X with license number 3768 (AZ). The provider is registered as an organization and their NPI record was last updated 5 years ago. The authorized official of this NPI record is Mr. Jeffrey Weintraub (Chief Executive Officer)

NPI
1134178007
Provider Name
SOUTHWEST KIDNEY DIALYSIS, LLC
Entity Type
Organization
Location Address
2149 E WARNER RD SUITE 110 TEMPE, AZ 85284
Location Phone
(480) 610-6170
Location Fax
(480) 610-6179
Mailing Address
2149 E WARNER RD SUITE 101 TEMPE, AZ 85284
Mailing Phone
(480) 610-6100
Mailing Fax
(480) 610-6179
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
05-09-2006
Last Update Date
08-22-2020
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Clinic/Center End-Stage Renal Disease (ESRD) Treatment

Taxonomy Code
261QE0700X
Type
Ambulatory Health Care Facilities
License No.
3768
License State
AZ

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Blue AdvanceHealth Bronze - MaricopaFocus Network - HMO
  • Blue AdvanceHealth Bronze - Neighborhood Network - HMO
  • Blue AdvanceHealth Bronze - PimaFocus Network - HMO
  • Blue AdvanceHealth Gold - MaricopaFocus Network - HMO
  • Blue AdvanceHealth Gold - Neighborhood Network - HMO
  • Blue AdvanceHealth Gold - PimaFocus Network - HMO
  • Blue AdvanceHealth Silver - MaricopaFocus Network - HMO
  • Blue AdvanceHealth Silver - Neighborhood Network - HMO
  • Blue AdvanceHealth Silver - PimaFocus Network - HMO
  • Blue EverydayHealth Gold - MaricopaFocus Network - HMO
  • Blue EverydayHealth Gold - Neighborhood Network - HMO
  • Blue EverydayHealth Gold - PimaFocus Network - HMO
  • Blue EverydayHealth Silver - MaricopaFocus Network - HMO
  • Blue EverydayHealth Silver - Neighborhood Network - HMO
  • Blue EverydayHealth Silver - PimaFocus Network - HMO
  • Blue Portfolio HSA Bronze - MaricopaFocus Network - HMO
  • Blue Portfolio HSA Bronze - Neighborhood Network - HMO
  • Blue Portfolio HSA Bronze - PimaFocus Network - HMO
  • Blue Portfolio HSA Gold - Statewide PPO Network - PPO
  • Blue PPO PremierHealth Silver - Statewide PPO Network - PPO

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

MR. JEFFREY WEINTRAUB

Authorized Official Title
CHIEF EXECUTIVE OFFICER
Authorized Official Phone
(480) 610-6100

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
03D2116668
Facility Type
Physician Office
Certificate Effective Date
July 29, 2024
Certificate Expiration Date
July 28, 2026
Laboratory Director
DONN HOGAN
Certificate Type
Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description
This CLIA certificate is issued to Southwest Kidney Dialysis, Llc in which a physician, midlevel practitioner or dentist that performs specific microscopy procedures during the course of a patient's visit. A limited list of provider-performed microscopy procedures is included under this certificate type, which are categorized as moderate complexity testing.

Reviews for SOUTHWEST KIDNEY DIALYSIS, LLC

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1134178007
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2164271600
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 1 + 6 + 4 + 2 + 7 + 1 + 6 + 0 + 0 + 24 = 53
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 53 = 77

The NPI number 1134178007 is valid because the calculated check digit 7 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 4 providers are registered at the same or nearby location.

MS. BETH ANN SPANIER RD

Dietitian, Registered

(Nutrition, Renal)

2149 E WARNER RD
SUITE 101
TEMPE, AZ
ZIP 85284

(480) 610-6111

PAULA MURPHY RD CDE

Dietitian, Registered

2149 E WARNER RD
SUITE 101
TEMPE, AZ
ZIP 85284

(480) 610-6111

STACEY ELISE FLANIGAN MSW, LCSW

Social Worker

(Clinical)

2149 E WARNER RD
TEMPE, AZ
ZIP 85284

(480) 730-3531

SOUTHWEST KIDNEY DAVITA DIALYSIS PARTNERS LLC

Clinic/Center

(End-Stage Renal Disease (ESRD) Treatment)

2149 E WARNER RD
STE 110
TEMPE, AZ
ZIP 85284

(480) 730-3531

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1134178007, enumerated as an "organization" on May 09, 2006.

The provider is located at 2149 E WARNER RD SUITE 110 TEMPE, AZ 85284 and the phone number is (480) 610-6170.

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

The provider might be accepting Accepts: Blue Cross Blue Shield of Arizona. Please consult your insurance carrier or call the provider to verify.