FAXTON ST LUKES HEALTHCARE
NPI 1154764934
Clinic/Center - End-Stage Renal Disease (ESRD) Treatment in Utica, NY

Overall Rating: 1 out of 5 stars

NPI Status: Active since April 11, 2013

Contact Information

1650 CHAMPLIN AVE
UTICA, NY
ZIP 13502
Phone: (315) 624-5145
Fax: (315) 624-6113

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Table of Contents

NPI Profile Information
Primary Taxonomy
Authorized Official
Dialysis Facility Compare Information
CLIA Information
NPI Validation
Other Providers Same Location
Frequently Asked Questions

Organization
Clinic/Center
End-Stage Renal Disease (ESRD) Treatment
CLIA Number: 33D1064145
CLIA Cert. Type: Ancillary Testing Site in Health Care Center
CLIA Exp. Date: 03-26-2027

About FAXTON ST LUKES HEALTHCARE

This page provides the complete NPI Profile along with additional information for Faxton St Lukes Healthcare, a provider established in Utica, New York operating as a Clinic/center, focusing in end-stage renal disease (esrd) treatment . The healthcare provider is registered in the NPI registry with number 1154764934 assigned on April 2013. The practitioner's primary taxonomy code is 261QE0700X with license number 3203003H (NY). The provider is registered as an organization and their NPI record was last updated 3 years ago. The authorized official of this NPI record is Cody White (Executive Director)

NPI: 1154764934
Provider Name: FAXTON ST LUKES HEALTHCARE
Entity Type: Organization
Location Address: 1650 CHAMPLIN AVE UTICA, NY 13502
Location Phone: (315) 624-5145
Location Fax: (315) 624-6113
Mailing Address: 2209 GENESEE ST/ BUSINESS OFFICE ROOM #315 UTICA, NY 13501
Mailing Phone: (315) 018-3282
Is Sole Proprietor?: No
Is Organization Subpart?: Yes
Enumeration Date: 04-11-2013
Last Update Date: 07-12-2023
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According to the Dialysis Facility Compare program data, Faxton St Lukes Healthcare has a much below average overall quality rating based on the patient's quality of care based on data that dialysis centers report to Medicare. The Quality of Patient Star Rating for this facility is 1 out of 5 stars.

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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.: 3203003H
License State: NY

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: CODY WHITE
Authorized Official Title: EXECUTIVE DIRECTOR
Authorized Official Phone: (315) 801-4429

Dialysis Facility Compare Information

Quality of Patient Care Rating Quality of Patient Care Rating The Medicare program calculates star ratings using specific measure data reported by dialysis centers to Medicare and data from the In-Center Hemodialysis CAHPS Survey.	- 1 out of 5 stars - A Much Below Average
Dialysis Facility Type	Non-profit
Is it part of a chain?	Yes
Corporate Name	US Renal Care, Inc.
Shifts Starting After 5PM Shifts Starting After 5PM If you can start your dialysis treatment at 5pm or later. These centers may also offer the ability for you to receive dialysis while you sleep.	No
In-Center Hemodialysis In-Center Hemodialysis Hemodialysis is the most common method for treating advanced and permanent kidney failure. In hemodialysis, your blood flows slowly through a filter to remove wastes and extra fluids and the clean blood is returned to your body.	Yes
Number of Hemodialysis Stations Number of Hemodialysis Stations The number of hemodialysis stations in the dialysis facility.	8
Peritoneal Dialysis Peritoneal Dialysis Peritoneal dialysis is a treatment for kidney failure that uses the lining of your abdomen, or belly, to filter your blood inside your body. It uses a soft tube to fill your abdomen with a cleansing liquid that removes waste products from your body and the liquid is drained out of your body after a few hours.	No
Home Hemodialysis Training Home Hemodialysis Training If the dialysis center offers training for patients and caregivers to learn to do hemodialysis treatments at home.	No
Certification or Recertification Date	08-22-2013

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: 33D1064145
Facility Type: Ancillary Testing Site in Health Care Center
Certificate Effective Date: April 28, 2025
Certificate Expiration Date: March 26, 2027
Laboratory Director: DR. MUZAFFAR N. KHAN
Certificate Type: Certificate of Waiver
Certificate Type Description: This CLIA certificate is issued to Faxton St Lukes Healthcare to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1154764934, we treat the final digit (4) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 66. The final step is to find the difference between that total and the next multiple of ten (70 - 66 = 4).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1

Doubled → 2

Pos 2

Unchanged

Pos 3

Doubled → 10 → 1 + 0

Pos 4

Unchanged

Pos 5

Doubled → 14 → 1 + 4

Pos 6

Unchanged

Pos 7

Doubled → 8

Pos 8

Unchanged

Pos 9

Doubled → 6

Check

Target digit

Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 5 → 10 → 1 7 → 14 → 5 4 → 8 3 → 6

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 1 + 1 + 0 + 4 + 1 + 4 + 6 + 8 + 9 + 6 + 24 = 66

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 66 is 70. The difference is the calculated check digit.

70 - 66 = 4

This NPI is valid

The calculated check digit is 4, which matches the last digit of 1154764934.