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JACKSONVILLE DIALYSIS
NPI 1316916513
Clinic/Center - End-Stage Renal Disease (ESRD) Treatment in Jacksonville, IL

Active since March 17, 2006CLIA 14D0723758 · Waiver
1/5
Overall Rating
1515 W WALNUT ST, JACKSONVILLE, IL 62650(217) 243-3042(217) 243-1365 Get Directions Write a Review

NPPES record last updated: October 4, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Oct 4, 2024, Oct 18, 2023, Dec 14, 2021 and 2 more (5 updates tracked since 2018).

About Jacksonville Dialysis NPPES

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

JACKSONVILLE DIALYSIS (NPI 1316916513) is a healthcare organization registered as an end-stage renal disease (esrd) treatment in Jacksonville, 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

NPI1316916513
Entity TypeOrganization
Primary Taxonomy261QE0700X
Legal Business NameDVA RENAL HEALTHCARE INC
Location Address1515 W WALNUT STJacksonville, IL 62650-1150
Mailing Address5200 Virginia Way, L&c DepartmentBrentwood, TN 37027-7569
Phone(217) 243-3042
Fax(217) 243-1365
Organization SubpartNo
Authorized OfficialSamuel T WeyVp, Licensure & Certification · (615) 341-6641
Enumeration DateMarch 17, 2006
Last NPPES UpdateOctober 4, 20245 updates tracked since enumeration
NPPES CertifiedOctober 4, 2024
✔ NPI 1316916513 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
1515 W WALNUT ST, Jacksonville, IL 62650
Open in Google Maps ↗

Other Names 1

Doing Business AsJacksonville Dialysis

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 14D0723758

Jacksonville Dialysis · Jacksonville, IL
Active · expires Aug 31, 2026
CLIA Number14D0723758
Laboratory TypeEnd Stage Renal Disease Dialysis Facility
Certificate Effective DateSeptember 1, 2024
Certificate Expiration DateAugust 31, 2026
Laboratory DirectorPradeep K. Mehta
Laboratory Phone(217) 243-3042
Laboratory LocationJacksonville Dialysis1515 W Walnut St, Jacksonville, IL 62650
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 Jacksonville Dialysis (CMS certification number 142581), from CMS Care Compare.

DaVita Jacksonville Dialysis

Dialysis facility · Jacksonville, IL
1/5 CMS RatingRating period January 2020 to December 2023
OwnershipProfit
ChainDaVita
CMS Certification Number142581
ESRD NetworkNetwork 10
Hemodialysis Stations14
Medicare-Certified SinceJanuary 1, 2000
Location1515 W Walnut St Lot 11Jacksonville, IL 62650 · Morgan County
Phone(217) 243-3042
Services Offered
In-center hemodialysis

Patient Survey Results

Nephrologists’ communication and caring
Patients who reported their kidney doctors always communicated well and cared for them as a person.
81% 5/5
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.
53% 3/5
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).
74% 4/5
Rating of the dialysis center staff
Patients who rated the center staff 9 or 10 on a scale of 0 (worst) to 10 (best).
50% 1/5
Rating of the dialysis center
Patients who rated the dialysis center 9 or 10 on a scale of 0 (worst) to 10 (best).
50% 2/5
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 18

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

FOOT & ANKLE ASSOCIATES OF CENTRAL ILLINOIS LLC
Podiatrist (Foot & Ankle Surgery)
1515 W WALNUT ST, SUITE 12
JACKSONVILLE, IL 62650
Morgan County (217) 243-1101
R & D PHARMACIES, INC
Pharmacy (Community/Retail Pharmacy)
1515 W WALNUT ST
JACKSONVILLE, IL 62650
Morgan County (217) 245-5353
SMILE EXPERTS DENTAL ASSOCIATES
Exclusive Provider Organization
1515 W WALNUT ST
JACKSONVILLE, IL 62650
Morgan County (217) 245-1190
DR. ANTHONY SCROGGINS D.P.M.
Podiatrist
1515 W WALNUT ST, SUITE 3B
JACKSONVILLE, IL 62650
Morgan County (217) 245-4610
DR. TERESE J LAUGHLIN DPM
Podiatrist (Foot & Ankle Surgery)
1515 W WALNUT ST, SUITE 12
JACKSONVILLE, IL 62650
Morgan County (217) 243-1101
DR. ELDON G. BARROWES
Dentist (Endodontics)
1515 W WALNUT ST, BLDG. #3
JACKSONVILLE, IL 62650
Morgan County (217) 479-0900
ROBERT A. KRUEGER, D.D.S., LTD.
Dentist (Orthodontics and Dentofacial Orthopedics)
1515 W WALNUT ST, #8
JACKSONVILLE, IL 62650
Morgan County (217) 245-6400
BRANDYNNE MARIE FRY ALLGAIER FNP-C, APRN
Nurse Practitioner
1515 W WALNUT ST
JACKSONVILLE, IL 62650
Morgan County (217) 243-5313

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 1316916513. It was assigned to this organization in the NPPES registry on March 17, 2006. The provider is doing business as Jacksonville Dialysis.

Where is DVA Renal Healthcare Inc located?

DVA Renal Healthcare Inc is located at 1515 W Walnut St, Jacksonville, IL 62650. The listed phone number is (217) 243-3042.

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 14D0723758) 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 Jacksonville Dialysis is a Medicare-certified dialysis facility, certified since January 1, 2000.

What quality rating does DVA Renal Healthcare Inc have?

CMS rates DaVita Jacksonville Dialysis 1 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 4, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.