PDI EBENSBURG
NPI 1417919200
Clinic/Center - End-Stage Renal Disease (ESRD) Treatment in Ebensburg, PA

Active since April 05, 2006CLIA 39D0996912 · Waiver
4/5
Overall Rating
429 MANOR DR, STE 650, EBENSBURG, PA 15931(814) 472-2642(814) 472-2138 Get Directions Write a Review

NPPES record last updated: June 23, 2020. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Jun 23, 2020, Mar 4, 2020, Nov 26, 2018 (3 updates tracked since 2018).

About Pdi Ebensburg NPPES

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

PDI EBENSBURG (NPI 1417919200) is a healthcare organization registered as an end-stage renal disease (esrd) treatment in Ebensburg, Pennsylvania and active in the NPI registry since April 2006. The organization holds a CLIA Waiver certificate valid through February 29, 2028 and lists John D Winstel, Chief Accounting Officer, as its authorized official.Information from the official NPPES registry record.

NPPES Registry Identity

NPI1417919200
Entity TypeOrganization
Primary Taxonomy261QE0700X
Legal Business NamePHYSICIANS DIALYSIS ACQUISITIONS INC
Location Address429 MANOR DR, STE 650Ebensburg, PA 15931-4917
Mailing Address5200 Virginia Way, L & C DeptBrentwood, TN 37027-7569 · (615) 341-6410 · Fax (888) 662-8259
Fax(814) 472-2138
Organization SubpartNo
Authorized OfficialJohn D WinstelChief Accounting Officer · (253) 733-4501
Enumeration DateApril 5, 2006
Last NPPES UpdateJune 23, 20203 updates tracked since enumeration
NPPES CertifiedJune 23, 2020
NPI 1417919200 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
429 MANOR DR, Ebensburg, PA 15931

Other Names 1

Doing Business AsPdi Ebensburg

Other Identifiers 1

Medicaid1007765290015PA

Accepted Insurance

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 TypeProfit
Is it part of a chain?Yes
Corporate NameDaVita
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.
9
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.
No
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 Date05-01-2001

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
39D0996912
Facility Type
End Stage Renal Disease Dialysis Facility
Certificate Effective Date
March 01, 2026
Certificate Expiration Date
February 29, 2028
Laboratory Director
DR. FAINA GUREVICH
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Pdi Ebensburg to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

Reviews for PDI EBENSBURG

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Other Providers at the Same Location


The following 20 providers are registered at the same or a nearby location.

Skilled Nursing Facility
429 MANOR DR
EBENSBURG, PA 15931
Durable Medical Equipment & Medical Supplies (Parenteral & Enteral Nutrition)
429 MANOR DR
EBENSBURG, PA 15931
Occupational Therapist
429 MANOR DR
EBENSBURG, PA 15931
Occupational Therapist
429 MANOR DR
EBENSBURG, PA 15931
Physical Therapist
429 MANOR DR
EBENSBURG, PA 15931
Occupational Therapy Assistant
429 MANOR DR
EBENSBURG, PA 15931
Occupational Therapy Assistant
429 MANOR DR
EBENSBURG, PA 15931
Occupational Therapist
429 MANOR DR
EBENSBURG, PA 15931
Physical Therapy Assistant
429 MANOR DR
EBENSBURG, PA 15931
Pharmacist
429 MANOR DR, SUITE 620
EBENSBURG, PA 15931
Pharmacist
429 MANOR DR, SUITE 620
EBENSBURG, PA 15931
Pharmacist
429 MANOR DR, SIXTH FLOOR ANNEX SUITE 620
EBENSBURG, PA 15931
Pharmacist
429 MANOR DR, SUITE 620
EBENSBURG, PA 15931
Pharmacist
429 MANOR DR, SUITE 620
EBENSBURG, PA 15931
Registered Nurse
429 MANOR DR
EBENSBURG, PA 15931
Occupational Therapist
429 MANOR DR
EBENSBURG, PA 15931
Social Worker
429 MANOR DR
EBENSBURG, PA 15931
Physical Therapist
429 MANOR DR
EBENSBURG, PA 15931
Dietitian, Registered
429 MANOR DR
EBENSBURG, PA 15931
Registered Nurse
429 MANOR DR
EBENSBURG, PA 15931

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1417919200, enumerated as an "organization" on April 05, 2006.

The provider is located at 429 MANOR DR STE 650 EBENSBURG, PA 15931 and the phone number is (814) 472-2642.

Clinic/Center with taxonomy code 261QE0700X and a focus in End-Stage Renal Disease (ESRD) Treatment.

The provider might be accepting Accepts: Ambetter from Buckeye Health Plan, Ambetter. Please consult your insurance carrier or call the provider to verify.