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DIXON KIDNEY CENTER
NPI 1396706750
Clinic/Center - End-Stage Renal Disease (ESRD) Treatment in Dixon, IL

Active since March 28, 2006CLIA 14D1045207 · Waiver
3/5
Overall Rating
1131 N GALENA AVE, DIXON, IL 61021(815) 284-0595(815) 284-0547 Get Directions Write a Review

NPPES record last updated: October 18, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Oct 18, 2023, Aug 21, 2020, Sep 27, 2019 and 1 more (4 updates tracked since 2018).

About Dixon Kidney Center NPPES

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

DIXON KIDNEY CENTER (NPI 1396706750) is a healthcare organization registered as an end-stage renal disease (esrd) treatment in Dixon, Illinois and active in the NPI registry since March 2006. The organization holds a CLIA Waiver certificate valid through September 7, 2027 and lists Samuel T Wey, Vp Licensure & Certification, as its authorized official.

NPPES Registry Identity

NPI1396706750
Entity TypeOrganization
Primary Taxonomy261QE0700X
Legal Business NameRENAL TREATMENT CENTERS-ILLINOIS INC
Location Address1131 N GALENA AVEDixon, IL 61021-1015
Mailing Address5200 Virginia Way, Licensure And CertificationBrentwood, TN 37027-7569 · (615) 320-4514 · Fax (866) 594-9961
Phone(815) 284-0595
Fax(815) 284-0547
Organization SubpartNo
Authorized OfficialSamuel T WeyVp Licensure & Certification · (615) 341-6641
Enumeration DateMarch 28, 2006
Last NPPES UpdateOctober 18, 20234 updates tracked since enumeration
NPPES CertifiedOctober 18, 2023
✔ NPI 1396706750 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
License✔ Licensed in IL · N/A
1131 N GALENA AVE, Dixon, IL 61021
Open in Google Maps ↗

Other Names 1

Doing Business AsDixon Kidney Center

Other Identifiers 1

Medicaid1184868267IL

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 14D1045207

Dixon Kidney Center (d/B/A) Renal Treatment Centers - Illinois Inc · Dixon, IL
Active · expires Sep 7, 2027
CLIA Number14D1045207
Laboratory TypeEnd Stage Renal Disease Dialysis Facility
Certificate Effective DateSeptember 8, 2025
Certificate Expiration DateSeptember 7, 2027
Laboratory DirectorCharles Sweeney MD
Laboratory Phone(815) 284-0595
Laboratory LocationDixon Kidney Center (d/B/A) Renal Treatment Centers - Illinois Inc1131 N Galena Ave, Dixon, IL 61021
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 Dixon Kidney Center (CMS certification number 142651), from CMS Care Compare.

DaVita Dixon Kidney Center

Dialysis facility · Dixon, IL
3/5 CMS RatingRating period January 2020 to December 2023
OwnershipProfit
ChainDaVita
CMS Certification Number142651
ESRD NetworkNetwork 10
Hemodialysis Stations8
Medicare-Certified SinceSeptember 8, 2004
Location1131 N GALENA AVENUEDixon, IL 61021 · Lee County
Phone(815) 284-0595
Services Offered
In-center hemodialysis Peritoneal dialysis

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 1396706750. It was assigned to this organization in the NPPES registry on March 28, 2006. The provider is doing business as Dixon Kidney Center.

Where is Renal Treatment Centers-Illinois Inc located?

Renal Treatment Centers-Illinois Inc is located at 1131 N Galena Ave, Dixon, IL 61021. The listed phone number is (815) 284-0595.

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 14D1045207) is associated with this NPI, valid through September 7, 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 Dixon Kidney Center is a Medicare-certified dialysis facility, certified since September 8, 2004.

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

CMS rates DaVita Dixon Kidney Center 3 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 Health of Delaware, Ambetter from Home State Health and UnitedHealthcare 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 October 18, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years 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.