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FAYETTEVILLE DIALYSIS
NPI 1295913416
Clinic/Center - End-Stage Renal Disease (ESRD) Treatment in Fayetteville, AR

Active since February 11, 2008CLIA 04D0922946 · Waiver
2/5
Overall Rating
509 E MILLSAP RD, STE 111, FAYETTEVILLE, AR 72703(479) 443-6688(479) 527-9917 Get Directions Write a Review

NPPES record last updated: January 9, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jan 9, 2025, Dec 4, 2023, Aug 16, 2023 and 3 more (6 updates tracked since 2018).

About Fayetteville Dialysis NPPES

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

FAYETTEVILLE DIALYSIS (NPI 1295913416) is a healthcare organization registered as an end-stage renal disease (esrd) treatment in Fayetteville, Arkansas and active in the NPI registry since February 2008. The organization holds a CLIA Waiver certificate valid through December 9, 2026 and lists Samuel T. Wey, Vp, Licensure & Certification, as its authorized official.

NPPES Registry Identity

NPI1295913416
Entity TypeOrganization
Primary Taxonomy261QE0700X
Legal Business NameTOTAL RENAL CARE INC
Location Address509 E MILLSAP RD, STE 111Fayetteville, AR 72703-4862
Mailing Address5200 Virginia Way, L&c Dept.Brentwood, TN 37027-7569
Phone(479) 443-6688
Fax(479) 527-9917
Organization SubpartNo
Authorized OfficialSamuel T. WeyVp, Licensure & Certification · (615) 341-6641
Enumeration DateFebruary 11, 2008
Last NPPES UpdateJanuary 9, 20256 updates tracked since enumeration
NPPES CertifiedJanuary 9, 2025
✔ NPI 1295913416 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
509 E MILLSAP RD, Fayetteville, AR 72703
Open in Google Maps ↗

Other Names 1

Doing Business AsFayetteville Dialysis

Other Identifiers 2

Medicaid100757230DOK
Medicaid168261134AR

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Louisiana Healthcare Connections 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 04D0922946

Fayetteville Dialysis · Fayetteville, AR
Active · expires Dec 9, 2026
CLIA Number04D0922946
Laboratory TypeEnd Stage Renal Disease Dialysis Facility
Certificate Effective DateDecember 10, 2024
Certificate Expiration DateDecember 9, 2026
Laboratory DirectorShamsul L. Alam
Laboratory Phone(479) 443-6688
Laboratory LocationFayetteville Dialysis509 E Millsap Rd, Ste 111, Fayetteville, AR 72703
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 Fayetteville Dialysis (CMS certification number 042539), from CMS Care Compare.

DaVita Fayetteville Dialysis

Dialysis facility · Fayetteville, AR
2/5 CMS RatingRating period January 2020 to December 2023
OwnershipProfit
ChainDaVita
CMS Certification Number042539
ESRD NetworkNetwork 13
Hemodialysis Stations11
Medicare-Certified SinceJanuary 1, 1996
Location509 E MILLSAP STE 111Fayetteville, AR 72703 · Washington County
Phone(479) 443-6688
Services Offered
In-center hemodialysis Peritoneal dialysis

Other Providers at the Same Location NPPES 3

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

DR LLOYD C TRICHELL PA
Podiatrist
509 E MILLSAP RD, STE. 101
FAYETTEVILLE, AR 72703
Washington County (479) 587-0171
NORTHWEST ARKANSAS RENAL DIALYSIS ASSOCIATES
Internal Medicine (Nephrology)
509 E MILLSAP RD, SUITE 111
FAYETTEVILLE, AR 72703
Washington County (479) 443-6688
LLOYD TRICHELL DPM
Podiatrist
509 E MILLSAP RD, SUITE #101
FAYETTEVILLE, AR 72703
Washington County (479) 587-0171

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 Total Renal Care Inc's NPI number?

The NPI number for Total Renal Care Inc is 1295913416. It was assigned to this organization in the NPPES registry on February 11, 2008. The provider is doing business as Fayetteville Dialysis.

Where is Total Renal Care Inc located?

Total Renal Care Inc is located at 509 E Millsap Rd Ste 111, Fayetteville, AR 72703. The listed phone number is (479) 443-6688.

What is Total Renal Care 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 Total Renal Care Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 04D0922946) is associated with this NPI, valid through December 9, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

Is Total Renal Care Inc a Medicare-certified dialysis facility?

Yes. DaVita Fayetteville Dialysis is a Medicare-certified dialysis facility, certified since January 1, 1996.

What quality rating does Total Renal Care Inc have?

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

What insurance does Total Renal Care Inc accept?

Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Louisiana Healthcare Connections and Ambetter from Magnolia Health and 6 other insurers list Total Renal Care 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 Total Renal Care Inc was last updated on January 9, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.