CEDAR VALLEY DIALYSIS
NPI 1154566479
Clinic/Center - End-Stage Renal Disease (ESRD) Treatment in Waterloo, IA

Active since December 16, 2008CLIA 16D2071265 · Waiver
1661 W RIDGEWAY AVE, WATERLOO, IA 50701(319) 226-6425(319) 226-6421 Get Directions Write a Review

NPPES record last updated: June 2, 2014. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Cedar Valley Dialysis NPPES

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

CEDAR VALLEY DIALYSIS (NPI 1154566479) is a healthcare organization registered as an end-stage renal disease (esrd) treatment in Waterloo, Iowa and active in the NPI registry since December 2008. The organization holds a CLIA Waiver certificate valid through January 7, 2028 and lists James K Hilger, Chief Accounting Officer, as its authorized official.

NPPES Registry Identity

NPI1154566479
Entity TypeOrganization
Primary Taxonomy261QE0700X
Legal Business NameRENAL TREATMENT CENTERS ILLINOIS INC
Location Address1661 W RIDGEWAY AVEWaterloo, IA 50701-4541
Mailing Address5200 Virginia Way, L&c DeptBrentwood, TN 37027-7569 · (615) 341-6657 · Fax (866) 651-9495
Fax(319) 226-6421
Organization SubpartNo
Authorized OfficialJames K HilgerChief Accounting Officer · (253) 733-4500
Enumeration DateDecember 16, 2008
Last NPPES UpdateJune 2, 2014
NPI 1154566479 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
1661 W RIDGEWAY AVE, Waterloo, IA 50701

Other Names 1

Doing Business AsCedar Valley Dialysis

Other Identifiers 2

Medicare OSCAR/certification162516
Medicaid1154566479IA

CLIA Laboratory Certificates CMS CLIA 4

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 16D2071265

Cedar Valley Dialysis · Waterloo, IA
Active · expires Jan 7, 2028
CLIA Number16D2071265
Laboratory TypeEnd Stage Renal Disease Dialysis Facility
Certificate Effective DateJanuary 8, 2026
Certificate Expiration DateJanuary 7, 2028
Laboratory DirectorVinay K. Kantamneni
Laboratory Phone(319) 226-6425
Laboratory LocationCedar Valley Dialysis1661 W Ridgeway Avenue, Waterloo, IA 50701
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 16D2133355

Cedar Valley Medical Specialists PC · Waterloo, IA
Active · expires Jul 10, 2027
CLIA Number16D2133355
Laboratory TypePhysician Office
Certificate Effective DateJuly 11, 2025
Certificate Expiration DateJuly 10, 2027
Laboratory DirectorMatthew J. Kettman
Laboratory Phone(319) 236-7720
Laboratory LocationCedar Valley Medical Specialists PC110 Plaza Cir, Ste A, Waterloo, IA 50701
This certificate is issued to a laboratory to perform only waived tests.

Certificate for Provider-Performed Microscopy Procedures (PPMP) 16D2129207

Cedar Valley Medical Specialists PC · Waterloo, IA
Active · expires Apr 13, 2027
CLIA Number16D2129207
Laboratory TypePhysician Office
Certificate Effective DateApril 14, 2025
Certificate Expiration DateApril 13, 2027
Laboratory DirectorGregory K. Harter
Laboratory Phone(319) 232-0555
Laboratory LocationCedar Valley Medical Specialists PC125 E Tower Park Dr, Waterloo, IA 50701
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

Certificate of Waiver 16D2211863

Cedar Valley Medical Specialists PC · Waterloo, IA
Active · expires Jan 31, 2027
CLIA Number16D2211863
Laboratory TypePhysician Office
Certificate Effective DateFebruary 1, 2025
Certificate Expiration DateJanuary 31, 2027
Laboratory DirectorJames J. Poock
Laboratory Phone(319) 233-1540
Laboratory LocationCedar Valley Medical Specialists PC4006 Johnathan St, Ste B, Waterloo, IA 50701
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 3

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)
1661 W RIDGEWAY AVE
WATERLOO, IA 50701
Social Worker (Clinical)
1661 W RIDGEWAY AVE
WATERLOO, IA 50701
Clinic/Center (End-Stage Renal Disease (ESRD) Treatment)
1661 W RIDGEWAY AVE
WATERLOO, IA 50701

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1154566479, enumerated as an "organization" on December 16, 2008.

The provider is located at 1661 W RIDGEWAY AVE WATERLOO, IA 50701 and the phone number is (319) 226-6425.

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

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.