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BLUEMOUND DIALYSIS
NPI 1306164587
Clinic/Center - End-Stage Renal Disease (ESRD) Treatment in Wauwatosa, WI

Active since May 12, 2010CLIA Certified · 2 labs
601 N 99TH ST, STE 100, WAUWATOSA, WI 53226(414) 755-6300(414) 755-6310 Get Directions Write a Review

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

Record update history: Nov 21, 2024, Jan 6, 2021, Jul 18, 2019 (3 updates tracked since 2019).

About Bluemound Dialysis NPPES

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

BLUEMOUND DIALYSIS (NPI 1306164587) is a healthcare organization registered as an end-stage renal disease (esrd) treatment in Wauwatosa, Wisconsin and active in the NPI registry since May 2010. The organization holds 2 active CLIA laboratory certificates and lists Samuel T Wey, Vp Licensure & Certification, as its authorized official.

NPPES Registry Identity

NPI1306164587
Entity TypeOrganization
Primary Taxonomy261QE0700X
Legal Business NameTOTAL RENAL CARE INC
Location Address601 N 99TH ST, STE 100Wauwatosa, WI 53226-4339
Mailing Address5200 Virginia Way, Attn L&c DeptBrentwood, TN 37027-7569
Phone(414) 755-6300
Fax(414) 755-6310
Organization SubpartNo
Authorized OfficialSamuel T WeyVp Licensure & Certification · (615) 341-6641
Enumeration DateMay 12, 2010
Last NPPES UpdateNovember 21, 20243 updates tracked since enumeration
NPPES CertifiedNovember 21, 2024
✔ NPI 1306164587 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
601 N 99TH ST, Wauwatosa, WI 53226
Open in Google Maps ↗

Other Names 1

Doing Business AsBluemound Dialysis

Other Identifiers 1

Medicaid1306164587WI

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 2

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 52D2012015

Bluemound Dialysis Pd · Wauwatosa, WI
Active · expires Aug 25, 2026
CLIA Number52D2012015
Laboratory TypeEnd Stage Renal Disease Dialysis Facility
Certificate Effective DateAugust 26, 2024
Certificate Expiration DateAugust 25, 2026
Laboratory DirectorDr. Kevin Tucker
Laboratory Phone(414) 778-1623
Laboratory LocationBluemound Dialysis Pd601 N 99th St, Ste 300, Wauwatosa, WI 53226
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 52D2012019

Bluemound Dialysis · Wauwatosa, WI
Active · expires Aug 25, 2026
CLIA Number52D2012019
Laboratory TypeEnd Stage Renal Disease Dialysis Facility
Certificate Effective DateAugust 26, 2024
Certificate Expiration DateAugust 25, 2026
Laboratory DirectorDr. Manohar Ahuja
Laboratory Phone(414) 788-1623
Laboratory LocationBluemound Dialysis601 N 99th St, Ste 100, Wauwatosa, WI 53226
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 14

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

MS. JENNIFER ANNE LUEDKE PAC
Physician Assistant
601 N 99TH ST, SUITE 101
WAUWATOSA, WI 53226
Milwaukee County (414) 988-5100
ABBY RECHTIN R.D.
Dietitian, Registered
601 N 99TH ST
WAUWATOSA, WI 53226
Milwaukee County (414) 874-6030
INTEGRATED SPINE CARE, S.C.
Orthopaedic Surgery (Orthopaedic Surgery of the Spine)
601 N 99TH ST, SUITE 101
WAUWATOSA, WI 53226
Milwaukee County (414) 988-5100
LEE S WANN M.D.
Internal Medicine (Cardiovascular Disease)
601 N 99TH ST, STE 201
WAUWATOSA, WI 53226
Milwaukee County (414) 778-7790
MICHELLE L BUSH NP
Nurse Practitioner
601 N 99TH ST, SUITE 107
WAUWATOSA, WI 53226
Milwaukee County (414) 874-4555
KIDNEY INSTITUTE CENTER OF EXCELLENCE, LLC
Clinic/Center (End-Stage Renal Disease (ESRD) Treatment)
601 N 99TH ST, SUITE 100
WAUWATOSA, WI 53226
Milwaukee County (414) 755-6300
THE KIDNEY INSTITUTE, LTD.
Clinic/Center (End-Stage Renal Disease (ESRD) Treatment)
601 N 99TH ST, SUITE 300
WAUWATOSA, WI 53226
Milwaukee County (414) 778-1623
DR. LISA MATUSZEWSKI RICH M.D.
Internal Medicine (Nephrology)
601 N 99TH ST, SUITE 302
WAUWATOSA, WI 53226
Milwaukee County (414) 431-2186

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 1306164587. It was assigned to this organization in the NPPES registry on May 12, 2010. The provider is doing business as Bluemound Dialysis.

Where is Total Renal Care Inc located?

Total Renal Care Inc is located at 601 N 99th St Ste 100, Wauwatosa, WI 53226. The listed phone number is (414) 755-6300.

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 CLIA laboratory certificates?

Yes. 2 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

What insurance does Total Renal Care Inc accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Home State Health, Anthem Blue Cross and Blue Shield and UnitedHealthcare 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 November 21, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 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.