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MANASOTA DIALYSIS
NPI 1194125773
Clinic/Center - End-Stage Renal Disease (ESRD) Treatment in Sarasota, FL

Active since September 02, 2014CLIA 10D2086094 · Waiver
6960 PROFESSIONAL PKWY E, UNITS 4 & 5, SARASOTA, FL 34240(941) 362-2864(941) 907-4720 Get Directions Write a Review

NPPES record last updated: November 18, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Nov 18, 2024, Nov 10, 2023, Apr 10, 2020 and 2 more (5 updates tracked since 2018).

About Manasota Dialysis NPPES

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

MANASOTA DIALYSIS (NPI 1194125773) is a healthcare organization registered as an end-stage renal disease (esrd) treatment in Sarasota, Florida and active in the NPI registry since September 2014. The organization holds a CLIA Waiver certificate valid through October 27, 2026 and lists Samuel T. Wey, Vp, Licensure & Certification, as its authorized official.

NPPES Registry Identity

NPI1194125773
Entity TypeOrganization
Primary Taxonomy261QE0700X
Legal Business NameMAGNOLIA DIALYSIS LLC
Location Address6960 PROFESSIONAL PKWY E, UNITS 4 & 5Sarasota, FL 34240-8428
Mailing Address5200 Virginia Way, L & C DeptBrentwood, TN 37027-7569
Phone(941) 362-2864
Fax(941) 907-4720
Organization SubpartNo
Authorized OfficialSamuel T. WeyVp, Licensure & Certification · (615) 341-6641
Enumeration DateSeptember 2, 2014
Last NPPES UpdateNovember 18, 20245 updates tracked since enumeration
NPPES CertifiedNovember 18, 2024
✔ NPI 1194125773 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
6960 PROFESSIONAL PKWY E, Sarasota, FL 34240
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Other Names 1

Doing Business AsManasota Dialysis

Other Identifiers 1

Medicaid014861600FL

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Superior HealthPlan, Ambetter Health, Ambetter of Alabama and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment and revalidation status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Manasota Dialysis is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by December 31, 2026

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StateFloridaEnrollment IDO20140923001417Part A · End-Stage Renal Disease Facility (ESRD)Due dateDecember 31, 2026
Source: CMS Revalidation Due Date List, October 2026 release.

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 10D2086094

Manasota Dialysis · Sarasota, FL
Active · expires Oct 27, 2026
CLIA Number10D2086094
Laboratory TypeEnd Stage Renal Disease Dialysis Facility
Certificate Effective DateOctober 28, 2024
Certificate Expiration DateOctober 27, 2026
Laboratory DirectorAshok D. Sastry
Laboratory Phone(941) 362-2864
Laboratory LocationManasota Dialysis6960 Professional Pkwy R Unit 4,5, Sarasota, FL 34240
CLIA data matches this NPI record on: 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 Manasota Dialysis (CMS certification number 682574), from CMS Care Compare.

DaVita Manasota Dialysis

Dialysis facility · Sarasota, FL
OwnershipProfit
ChainDaVita
CMS Certification Number682574
ESRD NetworkNetwork 7
Hemodialysis Stations16
Medicare-Certified SinceMarch 16, 2015
Location6960 PROFESSIONAL PKWY E UNITS 4 & 5Sarasota, FL 34240 · Sarasota County
Phone(941) 362-2864
Services Offered
In-center hemodialysis Peritoneal dialysis

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 Magnolia Dialysis LLC's NPI number?

The NPI number for Magnolia Dialysis LLC is 1194125773. It was assigned to this organization in the NPPES registry on September 2, 2014. The provider is doing business as Manasota Dialysis.

Where is Magnolia Dialysis LLC located?

Magnolia Dialysis LLC is located at 6960 Professional Pkwy E Units 4 & 5, Sarasota, FL 34240. The listed phone number is (941) 362-2864.

What is Magnolia 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.

Is Magnolia Dialysis LLC enrolled in Medicare?

Yes. Magnolia Dialysis LLC is registered in the Medicare PECOS enrollment system.

When is Magnolia Dialysis LLC's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Part A enrollment for this organization (Florida, End-Stage Renal Disease Facility (ESRD)) is due for revalidation by December 31, 2026. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

Does Magnolia Dialysis LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 10D2086094) is associated with this NPI, valid through October 27, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

Is Magnolia Dialysis LLC a Medicare-certified dialysis facility?

Yes. DaVita Manasota Dialysis is a Medicare-certified dialysis facility, certified since March 16, 2015.

What insurance does Magnolia Dialysis LLC accept?

Health plans from Ambetter Health, Ambetter from Superior HealthPlan, Ambetter of Alabama, Cigna HealthCare of Florida, Inc. and Cigna Healthcare and 12 other insurers list Magnolia 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 Magnolia Dialysis LLC was last updated on November 18, 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.