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GREEN BAY DIALYSIS
NPI 1144590084
Clinic/Center - End-Stage Renal Disease (ESRD) Treatment in Green Bay, WI

Active since January 10, 2012CLIA 52D1004154 · Waiver
4/5
Overall Rating
1751 DECKNER AVE, GREEN BAY, WI 54302(920) 465-0430(920) 465-1311 Get Directions Write a Review

NPPES record last updated: September 12, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Sep 12, 2024, Oct 12, 2023, Jun 16, 2021 and 1 more (4 updates tracked since 2018).

About Green Bay Dialysis NPPES

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

GREEN BAY DIALYSIS (NPI 1144590084) is a healthcare organization registered as an end-stage renal disease (esrd) treatment in Green Bay, Wisconsin and active in the NPI registry since January 2012. The organization holds a CLIA Waiver certificate valid through September 19, 2026 and lists Samuel T Wey, Vp Licensure & Certification, as its authorized official.

NPPES Registry Identity

NPI1144590084
Entity TypeOrganization
Primary Taxonomy261QE0700X
Legal Business NameTOTAL RENAL CARE INC
Location Address1751 DECKNER AVEGreen Bay, WI 54302-2630
Mailing Address5200 Virginia Way, L&c DeptBrentwood, TN 37027-7569
Phone(920) 465-0430
Fax(920) 465-1311
Organization SubpartNo
Authorized OfficialSamuel T WeyVp Licensure & Certification · (615) 341-6641
Enumeration DateJanuary 10, 2012
Last NPPES UpdateSeptember 12, 20244 updates tracked since enumeration
NPPES CertifiedSeptember 12, 2024
✔ NPI 1144590084 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
1751 DECKNER AVE, Green Bay, WI 54302
Open in Google Maps ↗

Other Names 1

Doing Business AsGreen Bay Dialysis

Other Identifiers 1

Medicaid1144590084WI

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Home State Health, Ambetter Health, Ambetter Health of Delaware 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 52D1004154

Green Bay Dialysis · Green Bay, WI
Active · expires Sep 19, 2026
CLIA Number52D1004154
Laboratory TypeEnd Stage Renal Disease Dialysis Facility
Certificate Effective DateSeptember 20, 2024
Certificate Expiration DateSeptember 19, 2026
Laboratory DirectorDr. Qamaruddin U. Qazi
Laboratory Phone(920) 465-0430
Laboratory LocationGreen Bay Dialysis1751 Deckner Ave, Green Bay, WI 54302
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 Green Bay Dialysis (CMS certification number 522552), from CMS Care Compare.

DaVita Green Bay Dialysis

Dialysis facility · Green Bay, WI
4/5 CMS RatingRating period January 2020 to December 2023
OwnershipProfit
ChainDaVita
CMS Certification Number522552
ESRD NetworkNetwork 11
Hemodialysis Stations10
Medicare-Certified SinceJanuary 21, 2003
Location1751 DECKNER AVEGreen Bay, WI 54302 · Brown County
Phone(920) 465-0430
Services Offered
In-center hemodialysis Peritoneal dialysis Home hemodialysis training

Other Providers at the Same Location NPPES

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

AURORA MEDICAL GROUP INC
Clinic/Center (End-Stage Renal Disease (ESRD) Treatment)
1751 DECKNER AVE
GREEN BAY, WI 54302
Brown County (920) 465-0430

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 1144590084. It was assigned to this organization in the NPPES registry on January 10, 2012. The provider is doing business as Green Bay Dialysis.

Where is Total Renal Care Inc located?

Total Renal Care Inc is located at 1751 Deckner Ave, Green Bay, WI 54302. The listed phone number is (920) 465-0430.

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 52D1004154) is associated with this NPI, valid through September 19, 2026. 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 Green Bay Dialysis is a Medicare-certified dialysis facility, certified since January 21, 2003.

What quality rating does Total Renal Care Inc have?

CMS rates DaVita Green 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 1 other insurer 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 September 12, 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.