TULSA DIALYSIS LLC
NPI 1316909534
Clinic/Center - End-Stage Renal Disease (ESRD) Treatment in Tulsa, OK

Active since April 04, 2006CLIA 37D0706603 · Waiver
3/5
Overall Rating
9647 RIDGEVIEW ST, TULSA, OK 74131(918) 224-9996(918) 224-9997 Get Directions Write a Review

NPPES record last updated: May 27, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: May 27, 2025, Aug 29, 2023, Oct 22, 2020 and 3 more (6 updates tracked since 2017).

About Tulsa Dialysis Llc NPPES

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

TULSA DIALYSIS LLC (NPI 1316909534), doing business as Sapulpa Dialysis, is a healthcare organization registered as an end-stage renal disease (esrd) treatment in Tulsa, Oklahoma and active in the NPI registry since April 2006. The organization holds a CLIA Waiver certificate valid through August 31, 2026 and lists Samuel Wey, Vp Licensure & Certification, as its authorized official.

NPPES Registry Identity

NPI1316909534
Entity TypeOrganization
Primary Taxonomy261QE0700X
Legal Business NameTULSA DIALYSIS LLC
Location Address9647 RIDGEVIEW STTulsa, OK 74131-6205
Mailing Address5200 Virginia Way, L&c DeptBrentwood, TN 37027-7569
Fax(918) 224-9997
Organization SubpartNo
Authorized OfficialSamuel WeyVp Licensure & Certification · (615) 341-6641
Enumeration DateApril 4, 2006
Last NPPES UpdateMay 27, 20256 updates tracked since enumeration
NPPES CertifiedMay 27, 2025
NPI 1316909534 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
9647 RIDGEVIEW ST, Tulsa, OK 74131

Other Names 1

Doing Business AsSapulpa Dialysis

Other Identifiers 1

Medicaid200003470AOK

Accepted 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 37D0706603

Tulsa Dialysis Center · Tulsa, OK
Active · expires Aug 31, 2026
CLIA Number37D0706603
Laboratory TypeEnd Stage Renal Disease Dialysis Facility
Certificate Effective DateSeptember 1, 2024
Certificate Expiration DateAugust 31, 2026
Laboratory DirectorKusum Bhandari
Laboratory Phone(918) 660-0571
Laboratory LocationTulsa Dialysis Center5836 E Skelly Dr, Tulsa, OK 74135
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

Dialysis Facility Compare Information

Quality of Patient Care Rating Quality of Patient Care Rating
The Medicare program calculates star ratings using specific measure data reported by dialysis centers to Medicare and data from the In-Center Hemodialysis CAHPS Survey.
- 3 out of 5 stars - Average
Dialysis Facility TypeProfit
Is it part of a chain?Yes
Corporate NameDaVita
Shifts Starting After 5PM Shifts Starting After 5PM
If you can start your dialysis treatment at 5pm or later. These centers may also offer the ability for you to receive dialysis while you sleep.
No
In-Center Hemodialysis In-Center Hemodialysis
Hemodialysis is the most common method for treating advanced and permanent kidney failure. In hemodialysis, your blood flows slowly through a filter to remove wastes and extra fluids and the clean blood is returned to your body.
Yes
Number of Hemodialysis Stations Number of Hemodialysis Stations
The number of hemodialysis stations in the dialysis facility.
16
Peritoneal Dialysis Peritoneal Dialysis
Peritoneal dialysis is a treatment for kidney failure that uses the lining of your abdomen, or belly, to filter your blood inside your body. It uses a soft tube to fill your abdomen with a cleansing liquid that removes waste products from your body and the liquid is drained out of your body after a few hours.
No
Home Hemodialysis Training Home Hemodialysis Training
If the dialysis center offers training for patients and caregivers to learn to do hemodialysis treatments at home.
No
Certification or Recertification Date07-19-2002

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1316909534, enumerated as an "organization" on April 04, 2006.

The provider is located at 9647 RIDGEVIEW ST TULSA, OK 74131 and the phone number is (918) 224-9996.

Clinic/Center with taxonomy code 261QE0700X and a focus in End-Stage Renal Disease (ESRD) Treatment.

The provider might be accepting Accepts: Ambetter from Arkansas Health & Wellness, Ambetter. Please consult your insurance carrier or call the provider to verify.