ADIRONDACK MEDICAL CENTER DIALYSIS
NPI 1356656045
Clinic/Center - End-Stage Renal Disease (ESRD) Treatment in Tupper Lake, NY

Overall Rating: 4 out of 5 stars

NPI Status: Active since August 18, 2010

Contact Information

114 WAWBEEK AVE
TUPPER LAKE, NY
ZIP 12986
Phone: (518) 359-4900
Fax: (518) 891-5097

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Table of Contents

NPI Profile Information
Primary Taxonomy
Insurance Plans Accepted
Authorized Official
Dialysis Facility Compare Information
CLIA Information
NPI Validation
Other Providers Same Location
Frequently Asked Questions

Organization
Clinic/Center
End-Stage Renal Disease (ESRD) Treatment
CLIA Number: 33D0165161
CLIA Cert. Type: Ancillary Testing Site in Health Care Center
CLIA Exp. Date: 03-26-2027

About ADIRONDACK MEDICAL CENTER DIALYSIS

This page provides the complete NPI Profile along with additional information for Adirondack Medical Center Dialysis, a provider established in Tupper Lake, New York operating as a Clinic/center, focusing in end-stage renal disease (esrd) treatment . The healthcare provider is registered in the NPI registry with number 1356656045 assigned on August 2010. The practitioner's primary taxonomy code is 261QE0700X with license number 1623001H (NY). The provider is registered as an organization and their NPI record was last updated 12 years ago. The provider's is doing business as Adirondack Medical Center Dialysis. The authorized official of this NPI record is Susan S Stratford Cpc (Pfs Supervisor)

NPI: 1356656045
Provider Legal Name: ADIRONDACK MEDICAL CENTER
Other Organization Name: ADIRONDACK MEDICAL CENTER DIALYSIS
Other Name Type: Doing Business As (3)
Entity Type: Organization
Location Address: 114 WAWBEEK AVE TUPPER LAKE, NY 12986
Location Phone: (518) 359-4900
Location Fax: (518) 891-5097
Mailing Address: 114 WAWBEEK AVE TUPPER LAKE, NY 12986
Mailing Phone: (518) 359-4900
Mailing Fax: (518) 891-5097
Is Sole Proprietor?: No
Is Organization Subpart?: No
Enumeration Date: 08-18-2010
Last Update Date: 10-16-2014
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According to the Dialysis Facility Compare program data, Adirondack Medical Center Dialysis has an above average overall quality rating based on the patient's quality of care based on data that dialysis centers report to Medicare. The Quality of Patient Star Rating for this facility is 4 out of 5 stars.

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification: Clinic/Center End-Stage Renal Disease (ESRD) Treatment
Taxonomy Code: 261QE0700X
Type: Ambulatory Health Care Facilities
License No.: 1623001H
License State: NY

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Medicare

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Medicaid

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name: SUSAN S STRATFORD CPC
Authorized Official Title: PFS SUPERVISOR
Authorized Official Phone: (518) 897-2636

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier	Type / Code	Identifier State	Identifier Issuer
33-3564	OTHER (01)	NY	MEDICARE CCN
=========	OTHER (01)	NY	TAX ID

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.	- 4 out of 5 stars - Above Average
Dialysis Facility Type	Non-profit
Is it part of a chain?	No
Corporate Name	Independent
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.	7
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.	Yes
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 Date	06-25-1997

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number: 33D0165161
Facility Type: Ancillary Testing Site in Health Care Center
Certificate Effective Date: August 19, 1997
Certificate Expiration Date: March 26, 2027
Laboratory Director: DR. JOHN M. ECKEL
Certificate Type: Certificate of Compliance
Certificate Type Description: This CLIA certificate is issued to Adirondack Medical Center Dialysis after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements. This type of certificate is issued to laboratories that perform nonwaived (moderate and/or high complexity) testing.

NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1356656045, we treat the final digit (5) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 55. The final step is to find the difference between that total and the next multiple of ten (60 - 55 = 5).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1

Doubled → 2

Pos 2

Unchanged

Pos 3

Doubled → 10 → 1 + 0

Pos 4

Unchanged

Pos 5

Doubled → 12 → 1 + 2

Pos 6

Unchanged

Pos 7

Doubled → 12 → 1 + 2

Pos 8

Unchanged

Pos 9

Doubled → 8

Check

Target digit

Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 5 → 10 → 1 6 → 12 → 3 6 → 12 → 3 4 → 8

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 3 + 1 + 0 + 6 + 1 + 2 + 5 + 1 + 2 + 0 + 8 + 24 = 55

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 55 is 60. The difference is the calculated check digit.

60 - 55 = 5

This NPI is valid

The calculated check digit is 5, which matches the last digit of 1356656045.