PRODIGY DIALYSIS
NPI 1417191404
Clinic/Center - End-Stage Renal Disease (ESRD) Treatment in Meyersdale, PA
About Prodigy Dialysis NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
PRODIGY DIALYSIS (NPI 1417191404) is a healthcare organization registered as an end-stage renal disease (esrd) treatment in Meyersdale, Pennsylvania and active in the NPI registry since April 2009. The organization holds a CLIA Waiver certificate valid through June 21, 2027 and lists George Frem, Ceo, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
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 39D2228093
Prodigy Dialysis -Meyersdale · Meyersdale, PADialysis Facility Quality Ratings CMS Care Compare
Quality ratings, services and patient survey results for Prodigy Dialysis Meyersdale (CMS certification number 732505), from CMS Care Compare.
Prodigy Dialysis Meyersdale
Dialysis facility · Meyersdale, PAFrequently 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 Prodigy Dialysis's NPI number?
The NPI number for Prodigy Dialysis is 1417191404. It was assigned to this organization in the NPPES registry on April 22, 2009.
Where is Prodigy Dialysis located?
Prodigy Dialysis is located at 25 Center St, Meyersdale, PA 15552. The listed phone number is (814) 634-7032.
What is Prodigy Dialysis'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 Prodigy Dialysis hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 39D2228093) is associated with this NPI, valid through June 21, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
Is Prodigy Dialysis a Medicare-certified dialysis facility?
Yes. Prodigy Dialysis Meyersdale is a Medicare-certified dialysis facility, certified since January 4, 2022.
What insurance does Prodigy Dialysis accept?
Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Buckeye Health Plan list Prodigy Dialysis 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 Prodigy Dialysis was last updated on August 17, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 52 days 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.
# Prodigy Dialysis · NPI 1417191404
End-Stage Renal Disease (ESRD) Treatment organization in Meyersdale, Pennsylvania. Organization record, active in the CMS NPPES registry since April 22, 2009.
## Identity
- **NPI:** 1417191404 (Entity type: Organization)
- **Enumerated:** April 22, 2009
- **Primary specialty:** Clinic/Center - End-Stage Renal Disease (ESRD) Treatment · taxonomy 261QE0700X
- **Organization subpart:** No
- **Authorized official:** George Frem, CEO
## Practice location
- **Address:** 25 CENTER ST, Meyersdale, PA 15552-1101
- **Phone:** (814) 634-7032 · **Fax:** (814) 634-7052
## Record status
- **NPPES last updated:** August 17, 2026
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1417191404) · Data from the CMS NPPES public registry.