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COMMONWEALTH DIALYSIS
NPI 1174899173
Clinic/Center - End-Stage Renal Disease (ESRD) Treatment in Scranton, PA

Active since March 24, 2012CLIA 39D2042349 · Waiver
3/5
Overall Rating
920 S WASHINGTON AVE, SCRANTON, PA 18505(570) 344-5267(570) 963-2125 Get Directions Write a Review

NPPES record last updated: September 19, 2023. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Oct 8, 2020, Dec 21, 2018 (2 updates tracked since 2018).

About Commonwealth Dialysis NPPES

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

COMMONWEALTH DIALYSIS (NPI 1174899173) is a healthcare organization registered as an end-stage renal disease (esrd) treatment in Scranton, Pennsylvania and active in the NPI registry since March 2012. The organization holds a CLIA Waiver certificate valid through June 10, 2028 and lists Samuel T Wey, Sr Dir Licensure & Certification, as its authorized official.

NPPES Registry Identity

NPI1174899173
Entity TypeOrganization
Primary Taxonomy261QE0700X
Legal Business NameKIMBALL DIALYSIS LLC
Location Address920 S WASHINGTON AVEScranton, PA 18505-3810
Mailing Address5200 Virginia Way, L & C DeptBrentwood, TN 37027-7569 · (615) 341-6410 · Fax (888) 662-8259
Phone(570) 344-5267
Fax(570) 963-2125
Organization SubpartNo
Authorized OfficialSamuel T WeySr Dir Licensure & Certification · (615) 341-6641
Enumeration DateMarch 24, 2012
Last NPPES UpdateSeptember 19, 20232 updates tracked since enumeration
NPPES CertifiedSeptember 19, 2023
✔ NPI 1174899173 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
920 S WASHINGTON AVE, Scranton, PA 18505
Open in Google Maps ↗

Other Names 1

Doing Business AsCommonwealth Dialysis

Other Identifiers 1

Medicaid1027729300001PA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, 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 39D2042349

Commonwealth Dialysis Kimball Dialysis, LLC · Scranton, PA
Active · expires Jun 10, 2028
CLIA Number39D2042349
Laboratory TypeEnd Stage Renal Disease Dialysis Facility
Certificate Effective DateJune 11, 2026
Certificate Expiration DateJune 10, 2028
Laboratory DirectorDr. Lindsay M. Smith
Laboratory Phone(570) 344-5297
Laboratory LocationCommonwealth Dialysis Kimball Dialysis, LLC920 S Washington St, Scranton, PA 18505
CLIA data matches this NPI record on: Name
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 Commonwealth Dialysis (CMS certification number 392761), from CMS Care Compare.

DaVita Commonwealth Dialysis

Dialysis facility · Scranton, PA
3/5 CMS RatingRating period January 2020 to December 2023
OwnershipProfit
ChainDaVita
CMS Certification Number392761
ESRD NetworkNetwork 4
Hemodialysis Stations13
Medicare-Certified SinceSeptember 11, 2012
Location920 S. Washington AvenueScranton, PA 18505 · Lackawanna County
Phone(570) 344-5267
Services Offered
In-center hemodialysis

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 Kimball Dialysis LLC's NPI number?

The NPI number for Kimball Dialysis LLC is 1174899173. It was assigned to this organization in the NPPES registry on March 24, 2012. The provider is doing business as Commonwealth Dialysis.

Where is Kimball Dialysis LLC located?

Kimball Dialysis LLC is located at 920 S Washington Ave, Scranton, PA 18505. The listed phone number is (570) 344-5267.

What is Kimball 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 Kimball Dialysis LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 39D2042349) is associated with this NPI, valid through June 10, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

Is Kimball Dialysis LLC a Medicare-certified dialysis facility?

Yes. DaVita Commonwealth Dialysis is a Medicare-certified dialysis facility, certified since September 11, 2012.

What quality rating does Kimball Dialysis LLC have?

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

What insurance does Kimball Dialysis LLC accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Buckeye Health Plan, Oscar Health Insurance and Oscar Health Maintenance Organization of Florida and 5 other insurers list Kimball 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 Kimball Dialysis LLC was last updated on September 19, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.