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EFFINGHAM DIALYSIS
NPI 1245290782
Clinic/Center - End-Stage Renal Disease (ESRD) Treatment in Effingham, IL

Active since March 27, 2006CLIA 14D0723759 · Waiver
2/5
Overall Rating
904 MEDICAL PARK DR, SUITE 1, EFFINGHAM, IL 62401(217) 342-9558(217) 342-1049 Get Directions Write a Review

NPPES record last updated: October 21, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Dec 13, 2021, Apr 17, 2020, Oct 5, 2018 (3 updates tracked since 2018).

About Effingham Dialysis NPPES

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

EFFINGHAM DIALYSIS (NPI 1245290782) is a healthcare organization registered as an end-stage renal disease (esrd) treatment in Effingham, Illinois and active in the NPI registry since March 2006. The organization holds a CLIA Waiver certificate valid through August 31, 2026 and lists Samuel T Wey, Vp, Licensure & Certification, as its authorized official.

NPPES Registry Identity

NPI1245290782
Entity TypeOrganization
Primary Taxonomy261QE0700X
Legal Business NameDVA RENAL HEALTHCARE INC
Location Address904 MEDICAL PARK DR, SUITE 1Effingham, IL 62401-2193
Mailing Address5200 Virginia Way, L&c DeptBrentwood, TN 37027-7569
Phone(217) 342-9558
Fax(217) 342-1049
Organization SubpartNo
Authorized OfficialSamuel T WeyVp, Licensure & Certification · (615) 341-6641
Enumeration DateMarch 27, 2006
Last NPPES UpdateOctober 21, 20243 updates tracked since enumeration
NPPES CertifiedOctober 21, 2024
✔ NPI 1245290782 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 IL · N/A
904 MEDICAL PARK DR, Effingham, IL 62401
Open in Google Maps ↗

Other Names 1

Doing Business AsEffingham Dialysis

Other Identifiers 1

Medicaid2300487OH

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Home State Health, 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 14D0723759

Effingham Dialysis · Effingham, IL
Active · expires Aug 31, 2026
CLIA Number14D0723759
Laboratory TypeEnd Stage Renal Disease Dialysis Facility
Certificate Effective DateSeptember 1, 2024
Certificate Expiration DateAugust 31, 2026
Laboratory DirectorBashar Alzahabi
Laboratory Phone(217) 342-9558
Laboratory LocationEffingham Dialysis904 Medical Park Drive Suite 1, Effingham, IL 62401
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 Effingham Dialysis (CMS certification number 142580), from CMS Care Compare.

DaVita Effingham Dialysis

Dialysis facility · Effingham, IL
2/5 CMS RatingRating period January 2020 to December 2023
OwnershipProfit
ChainDaVita
CMS Certification Number142580
ESRD NetworkNetwork 10
Hemodialysis Stations16
Medicare-Certified SinceJanuary 1, 1998
Location904 MEDICAL PARK DRIVE, SUITE 1Effingham, IL 62401 · Effingham County
Phone(217) 342-9558
Services Offered
In-center hemodialysis Peritoneal dialysis Home hemodialysis training

Patient Survey Results

Nephrologists’ communication and caring
Patients who reported their kidney doctors always communicated well and cared for them as a person.
59% 2/5
Dialysis center care and operations
Patients who reported center staff always communicated well, kept them as comfortable as possible, behaved professionally and kept the center clean.
69% 4/5
Providing information to patients
Patients who reported their kidney doctors and center staff gave them the information they needed to care for their health.
83% 4/5
Rating of the kidney doctors
Patients who rated their kidney doctors 9 or 10 on a scale of 0 (worst) to 10 (best).
51% 2/5
Rating of the dialysis center staff
Patients who rated the center staff 9 or 10 on a scale of 0 (worst) to 10 (best).
73% 4/5
Rating of the dialysis center
Patients who rated the dialysis center 9 or 10 on a scale of 0 (worst) to 10 (best).
83% 5/5
Percentages are patients giving the best possible responses in the In-Center Hemodialysis (ICH CAHPS) patient survey. Star ratings are assigned by CMS on a one-to-five star scale; five is the highest.

Other Providers at the Same Location NPPES 6

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

DR. DAVID J BITZER MD
Urology
904 MEDICAL PARK DR
EFFINGHAM, IL 62401
Effingham County (217) 540-2350
FRED RICHARDSON JR. M.D.
Family Medicine
904 MEDICAL PARK DR, SUITE 3
EFFINGHAM, IL 62401
Effingham County (217) 540-2350
CONNIE L COATNEY LPN
Licensed Practical Nurse
904 MEDICAL PARK DR, SUITE 2
EFFINGHAM, IL 62401
Effingham County (217) 347-2255
SHELBY RENEA OVERBECK RN
Registered Nurse (Medical-Surgical)
904 MEDICAL PARK DR, SUITE 2
EFFINGHAM, IL 62401
Effingham County (217) 347-2255
MS. CATHY RADDATZ RN
Registered Nurse (Medical-Surgical)
904 MEDICAL PARK DR, STE 2
EFFINGHAM, IL 62401
Effingham County (217) 347-2255
RONNA R HURREN RN
Registered Nurse (Medical-Surgical)
904 MEDICAL PARK DR, SUITE 2
EFFINGHAM, IL 62401
Effingham County (217) 347-2255

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 DVA Renal Healthcare Inc's NPI number?

The NPI number for DVA Renal Healthcare Inc is 1245290782. It was assigned to this organization in the NPPES registry on March 27, 2006. The provider is doing business as Effingham Dialysis.

Where is DVA Renal Healthcare Inc located?

DVA Renal Healthcare Inc is located at 904 Medical Park Dr Suite 1, Effingham, IL 62401. The listed phone number is (217) 342-9558.

What is DVA Renal Healthcare 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 DVA Renal Healthcare Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 14D0723759) is associated with this NPI, valid through August 31, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

Is DVA Renal Healthcare Inc a Medicare-certified dialysis facility?

Yes. DaVita Effingham Dialysis is a Medicare-certified dialysis facility, certified since January 1, 1998.

What quality rating does DVA Renal Healthcare Inc have?

CMS rates DaVita Effingham Dialysis 2 out of 5 stars on Care Compare. The full measure detail is in the Dialysis Facility Quality section above.

What insurance does DVA Renal Healthcare Inc accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Home State Health and UnitedHealthcare list DVA Renal Healthcare 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 DVA Renal Healthcare Inc was last updated on October 21, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 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.