PARK PLAZA DIALYSIS
NPI 1376505552
Clinic/Center - End-Stage Renal Disease (ESRD) Treatment in Flint, MI

Q: What is Renal Treatment Centers-Illinois 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.

Q: What quality rating does Renal Treatment Centers-Illinois Inc. have?

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

Active since April 04, 2006CLIA 23D1014890 · Waiver

2/5

Overall Rating

G1075 N BALLENGER HWY, FLINT, MI 48504(810) 235-8468(810) 235-9144 Get Directions Write a Review

NPPES record last updated: June 18, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jun 18, 2024, Apr 11, 2024, Jul 7, 2022 and 2 more (5 updates tracked since 2019).

On this page

About Park Plaza Dialysis NPPES

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

PARK PLAZA DIALYSIS (NPI 1376505552) is a healthcare organization registered as an end-stage renal disease (esrd) treatment in Flint, Michigan and active in the NPI registry since April 2006. The organization holds a CLIA Waiver certificate valid through July 17, 2027 and lists Samuel T Wey, Vp Licensure & Certification, as its authorized official.

NPPES Registry Identity

NPI1376505552

Entity TypeOrganization

Primary Taxonomy261QE0700X

Legal Business NameRENAL TREATMENT CENTERS-ILLINOIS INC.

Location AddressG1075 N BALLENGER HWYFlint, MI 48504-4431

Mailing Address5200 Virginia Way, Att: L&c DeptBrentwood, TN 37027-7569

Phone(810) 235-8468

Fax(810) 235-9144

Organization SubpartNo

Authorized OfficialSamuel T WeyVp Licensure & Certification · (615) 341-6641

Enumeration DateApril 4, 2006

Last NPPES UpdateJune 18, 20245 updates tracked since enumeration

NPPES CertifiedJune 10, 2024

✔ NPI 1376505552 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

G1075 N BALLENGER HWY, Flint, MI 48504

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Other Names 1

Doing Business AsPark Plaza Dialysis

Other Identifiers 1

Medicaid4620087MI

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health 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 23D1014890

Park Plaza Dialysis · Flint, MI

Active · expires Jul 17, 2027

CLIA Number23D1014890

Laboratory TypeEnd Stage Renal Disease Dialysis Facility

Certificate Effective DateJuly 18, 2025

Certificate Expiration DateJuly 17, 2027

Laboratory DirectorAli K. Mohammed

Laboratory Phone(253) 272-1916

Laboratory LocationPark Plaza DialysisG1075 N Ballenger Hwy, Flint, MI 48504

CLIA data matches this NPI record on: Address Name

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 Park Plaza Dialysis (CMS certification number 232610), from CMS Care Compare.

DaVita Park Plaza Dialysis

Dialysis facility · Flint, MI

2/5 CMS RatingRating period January 2020 to December 2023

OwnershipProfit

ChainDaVita

CMS Certification Number232610

ESRD NetworkNetwork 11

Hemodialysis Stations12

Medicare-Certified SinceJune 1, 2003

LocationG-1075 N BALLENGER HWYFlint, MI 48504 · Genesee County

Phone(810) 235-8468

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.

66% 3/5

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.

63% 4/5

Providing information to patients

Patients who reported their kidney doctors and center staff gave them the information they needed to care for their health.

70% 2/5

Rating of the kidney doctors

Patients who rated their kidney doctors 9 or 10 on a scale of 0 (worst) to 10 (best).

66% 2/5

Rating of the dialysis center staff

Patients who rated the center staff 9 or 10 on a scale of 0 (worst) to 10 (best).

71% 3/5

Rating of the dialysis center

Patients who rated the dialysis center 9 or 10 on a scale of 0 (worst) to 10 (best).

76% 3/5

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 2

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

MR. RAOUF AZIZ MIKHAIL MD

Surgery

G1075 N BALLENGER HWY
FLINT, MI 48504

Genesee County (810) 238-1118

SUZANNE A LAW D.O.

Surgery

G1075 N BALLENGER HWY
FLINT, MI 48504

Genesee County (810) 238-1118

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 Renal Treatment Centers-Illinois Inc.'s NPI number?

The NPI number for Renal Treatment Centers-Illinois Inc. is 1376505552. It was assigned to this organization in the NPPES registry on April 4, 2006. The provider is doing business as Park Plaza Dialysis.

Where is Renal Treatment Centers-Illinois Inc. located?

Renal Treatment Centers-Illinois Inc. is located at G1075 N Ballenger Hwy, Flint, MI 48504. The listed phone number is (810) 235-8468.

What is Renal Treatment Centers-Illinois 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 Renal Treatment Centers-Illinois Inc. hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 23D1014890) is associated with this NPI, valid through July 17, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

Is Renal Treatment Centers-Illinois Inc. a Medicare-certified dialysis facility?

Yes. DaVita Park Plaza Dialysis is a Medicare-certified dialysis facility, certified since June 1, 2003.

What quality rating does Renal Treatment Centers-Illinois Inc. have?

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

What insurance does Renal Treatment Centers-Illinois Inc. accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company and 9 other insurers list Renal Treatment Centers-Illinois 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 Renal Treatment Centers-Illinois Inc. was last updated on June 18, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.