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ISD RENAL INC
NPI 1205881232
Clinic/Center - End-Stage Renal Disease (ESRD) Treatment in Prescott, AZ

Active since May 25, 2006CLIA 03D0534007 · Waiver
4/5
Overall Rating
980 WILLOW CREEK RD STE 101, PRESCOTT, AZ 86301(928) 776-9459(928) 776-8061 Get Directions Write a Review

NPPES record last updated: March 2, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Mar 2, 2026, Sep 9, 2024, Jan 3, 2022 and 3 more (6 updates tracked since 2019).

About Isd Renal Inc NPPES

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

ISD RENAL INC (NPI 1205881232), doing business as Prescott Dialysis, is a healthcare organization registered as an end-stage renal disease (esrd) treatment in Prescott, Arizona and active in the NPI registry since May 2006. The organization holds a CLIA Waiver certificate valid through April 14, 2028 and lists Samuel T Wey, Vp, Licensure & Certification, as its authorized official.

NPPES Registry Identity

NPI1205881232
Entity TypeOrganization
Primary Taxonomy261QE0700X
Legal Business NameISD RENAL INC
Location Address980 WILLOW CREEK RD STE 101Prescott, AZ 86301-1619
Mailing Address5200 Virginia Way, L&c DeptBrentwood, TN 37027-7569
Phone(928) 776-9459
Fax(928) 776-8061
Organization SubpartNo
Authorized OfficialSamuel T WeyVp, Licensure & Certification · (615) 341-6641
Enumeration DateMay 25, 2006
Last NPPES UpdateMarch 2, 20266 updates tracked since enumeration
NPPES CertifiedMarch 2, 2026
✔ NPI 1205881232 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
License✔ Licensed in AZ · OTC3997
980 WILLOW CREEK RD STE 101, Prescott, AZ 86301
Open in Google Maps ↗

Other Names 1

Doing Business AsPrescott Dialysis

Other Identifiers 1

Medicaid151474AZ

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Blue Cross Blue Shield of Arizona, Imperial Insurance Companies, Inc. 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 03D0534007

Isd Renal, Inc Dba Prescott Dialysis · Prescott, AZ
Active · expires Apr 14, 2028
CLIA Number03D0534007
Laboratory TypeEnd Stage Renal Disease Dialysis Facility
Certificate Effective DateApril 15, 2026
Certificate Expiration DateApril 14, 2028
Laboratory DirectorRomanita D. Nica
Laboratory Phone(928) 776-9459
Laboratory LocationIsd Renal, Inc Dba Prescott Dialysis980 Willow Creek Rd Ste 101, Prescott, AZ 86301
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 Prescott Dialysis (CMS certification number 032523), from CMS Care Compare.

DaVita Prescott Dialysis

Dialysis facility · Prescott, AZ
4/5 CMS RatingRating period January 2020 to December 2023
OwnershipProfit
ChainDaVita
CMS Certification Number032523
ESRD NetworkNetwork 15
Hemodialysis Stations12
Medicare-Certified SinceJuly 18, 1988
Location980 WILLOW CREEK RD STE 101Prescott, AZ 86301 · Yavapai County
Phone(928) 776-9459
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 Isd Renal Inc's NPI number?

The NPI number for Isd Renal Inc is 1205881232. It was assigned to this organization in the NPPES registry on May 25, 2006. The provider is doing business as Prescott Dialysis.

Where is Isd Renal Inc located?

Isd Renal Inc is located at 980 Willow Creek Rd Ste 101, Prescott, AZ 86301. The listed phone number is (928) 776-9459.

What is Isd Renal Inc'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 Isd Renal Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 03D0534007) is associated with this NPI, valid through April 14, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

Is Isd Renal Inc a Medicare-certified dialysis facility?

Yes. DaVita Prescott Dialysis is a Medicare-certified dialysis facility, certified since July 18, 1988.

What quality rating does Isd Renal Inc have?

CMS rates DaVita Prescott Dialysis 4 out of 5 stars on Care Compare. The full measure detail is in the Dialysis Facility Quality section above.

What insurance does Isd Renal Inc accept?

Health plans from Ambetter from Arizona Complete Health, Blue Cross Blue Shield of Arizona, Imperial Insurance Companies, Inc., Oscar Health Insurance and Oscar Health Maintenance Organization of Florida and 5 other insurers list Isd Renal Inc 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 Isd Renal Inc was last updated on March 2, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.