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BOWLES AVENUE DIALYSIS
NPI 1154617892
Clinic/Center - End-Stage Renal Disease (ESRD) Treatment in Fenton, MO

Active since June 21, 2011CLIA 26D2028221 · Waiver
3/5
Overall Rating
1011 BOWLES AVE, STE 210, FENTON, MO 63026(636) 326-7130(636) 326-8011 Get Directions Write a Review

NPPES record last updated: April 3, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 3, 2024, Nov 13, 2023, Oct 20, 2022 and 3 more (6 updates tracked since 2019).

About Bowles Avenue Dialysis NPPES

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

BOWLES AVENUE DIALYSIS (NPI 1154617892) is a healthcare organization registered as an end-stage renal disease (esrd) treatment in Fenton, Missouri and active in the NPI registry since June 2011. The organization holds a CLIA Waiver certificate valid through August 10, 2027 and lists Samuel T. Wey, Vp Licensure & Certification, as its authorized official.

NPPES Registry Identity

NPI1154617892
Entity TypeOrganization
Primary Taxonomy261QE0700X
Legal Business NameLOUP DIALYSIS LLC
Location Address1011 BOWLES AVE, STE 210Fenton, MO 63026-2384
Mailing Address5200 Virginia Way, L&c DeptBrentwood, TN 37027-7569
Phone(636) 326-7130
Fax(636) 326-8011
Organization SubpartNo
Authorized OfficialSamuel T. WeyVp Licensure & Certification · (615) 341-6641
Enumeration DateJune 21, 2011
Last NPPES UpdateApril 3, 20246 updates tracked since enumeration
NPPES CertifiedApril 3, 2024
✔ NPI 1154617892 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
1011 BOWLES AVE, Fenton, MO 63026
Open in Google Maps ↗

Other Names 1

Doing Business AsBowles Avenue Dialysis

Other Identifiers 1

Medicaid1154617892MO

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 26D2028221

Loup Dialysis, LLC Dba/ Bowles Avenue Dialysis · Fenton, MO
Active · expires Aug 10, 2027
CLIA Number26D2028221
Laboratory TypeEnd Stage Renal Disease Dialysis Facility
Certificate Effective DateAugust 11, 2025
Certificate Expiration DateAugust 10, 2027
Laboratory DirectorMaggie Meier
Laboratory Phone(636) 326-7130
Laboratory LocationLoup Dialysis, LLC Dba/ Bowles Avenue Dialysis1011 Bowles Avenue, Suite 210, Fenton, MO 63026
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 Bowles Avenue Dialysis (CMS certification number 262649), from CMS Care Compare.

DaVita Bowles Avenue Dialysis

Dialysis facility · Fenton, MO
3/5 CMS RatingRating period January 2020 to December 2023
OwnershipProfit
ChainDaVita
CMS Certification Number262649
ESRD NetworkNetwork 12
Hemodialysis Stations14
Medicare-Certified SinceFebruary 29, 2012
Location1011 Bowles Avenue Suite 210Fenton, MO 63026 · Saint Louis County
Phone(636) 326-7130
Services Offered
In-center hemodialysis Peritoneal dialysis Home hemodialysis training

Other Providers at the Same Location NPPES 20

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

DR. LAWRENCE VINCENT BOVERI MD
Obstetrics & Gynecology
1011 BOWLES AVE, SUITE 215
FENTON, MO 63026
St. Louis County (636) 680-1960
CENTER FOR ADVANCED FOOT & ANKLE SURGERY, INC.
Durable Medical Equipment & Medical Supplies
1011 BOWLES AVE, SUITE 123
FENTON, MO 63026
St. Louis County (314) 991-3668
MS. LITA LAPINS FNP
Nurse Practitioner (Family)
1011 BOWLES AVE, SUITE 300
FENTON, MO 63026
St. Louis County (314) 238-9100
SSM MEDICAL GROUP
Internal Medicine
1011 BOWLES AVE, SUITE 300
FENTON, MO 63026
St. Louis County (636) 496-5000
ALLISON KATE BROWN FNP
Nurse Practitioner (Family)
1011 BOWLES AVE
FENTON, MO 63026
St. Louis County (314) 200-2713
MS. DENISE P BLACKBURN APRN, FNP-BC
Nurse Practitioner (Family)
1011 BOWLES AVE, SUITE G10
FENTON, MO 63026
St. Louis County (314) 965-9980
LAWRENCE G EVANS MD LLC
Orthopaedic Surgery
1011 BOWLES AVE, SUITE 400
FENTON, MO 63026
St. Louis County (314) 821-4884
MRS. TIFFANY SHANTA HAROLD APRN
Nurse Practitioner (Women's Health)
1011 BOWLES AVE
FENTON, MO 63026
St. Louis County (636) 496-5438

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 Loup Dialysis LLC's NPI number?

The NPI number for Loup Dialysis LLC is 1154617892. It was assigned to this organization in the NPPES registry on June 21, 2011. The provider is doing business as Bowles Avenue Dialysis.

Where is Loup Dialysis LLC located?

Loup Dialysis LLC is located at 1011 Bowles Ave Ste 210, Fenton, MO 63026. The listed phone number is (636) 326-7130.

What is Loup Dialysis LLC'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 Loup Dialysis LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 26D2028221) is associated with this NPI, valid through August 10, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

Is Loup Dialysis LLC a Medicare-certified dialysis facility?

Yes. DaVita Bowles Avenue Dialysis is a Medicare-certified dialysis facility, certified since February 29, 2012.

What quality rating does Loup Dialysis LLC have?

CMS rates DaVita Bowles Avenue Dialysis 3 out of 5 stars on Care Compare. The full measure detail is in the Dialysis Facility Quality section above.

What insurance does Loup Dialysis LLC accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health and Ambetter from Sunflower Health Plan and 11 other insurers list Loup Dialysis LLC 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 Loup Dialysis LLC was last updated on April 3, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years 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.