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SUN PRAIRIE DIALYSIS
NPI 1457747453
Clinic/Center - End-Stage Renal Disease (ESRD) Treatment in Sun Prairie, WI

Active since April 07, 2015CLIA 52D2094907 · Waiver
1/5
Overall Rating
719 BUNNY TRAIL, SUN PRAIRIE, WI 53590(608) 825-6556(608) 825-2886 Get Directions Write a Review

NPPES record last updated: June 25, 2024. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Jun 25, 2024, Sep 14, 2022, Apr 23, 2020 (3 updates tracked since 2020).

About Sun Prairie Dialysis NPPES

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

SUN PRAIRIE DIALYSIS (NPI 1457747453) is a healthcare organization registered as an end-stage renal disease (esrd) treatment in Sun Prairie, Wisconsin and active in the NPI registry since April 2015. The organization holds a CLIA Waiver certificate valid through April 26, 2027 and lists Samuel T Wey, Vp Licensure & Certification, as its authorized official.

NPPES Registry Identity

NPI1457747453
Entity TypeOrganization
Primary Taxonomy261QE0700X
Legal Business NameMONTAUK DIALYSIS LLC
Location Address719 BUNNY TRAILSun Prairie, WI 53590-0000
Mailing Address5200 Virginia Way, L&c DeptBrentwood, TN 37027-7569
Phone(608) 825-6556
Fax(608) 825-2886
Organization SubpartNo
Authorized OfficialSamuel T WeyVp Licensure & Certification · (615) 341-6641
Enumeration DateApril 7, 2015
Last NPPES UpdateJune 25, 20243 updates tracked since enumeration
NPPES CertifiedJune 25, 2024
✔ NPI 1457747453 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
719 BUNNY TRAIL, Sun Prairie, WI 53590
Open in Google Maps ↗

Other Names 1

Doing Business AsSun Prairie Dialysis

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 52D2094907

Sun Prairie Dialysis · Sun Prairie, WI
Active · expires Apr 26, 2027
CLIA Number52D2094907
Laboratory TypeEnd Stage Renal Disease Dialysis Facility
Certificate Effective DateApril 27, 2025
Certificate Expiration DateApril 26, 2027
Laboratory DirectorAtif Qureshi
Laboratory Phone(608) 825-6556
Laboratory LocationSun Prairie Dialysis719 Bunny Trail, Sun Prairie, WI 53590
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 Sun Prairie Dialysis (CMS certification number 522607), from CMS Care Compare.

DaVita Sun Prairie Dialysis

Dialysis facility · Sun Prairie, WI
1/5 CMS RatingRating period January 2020 to December 2023
OwnershipProfit
ChainDaVita
CMS Certification Number522607
ESRD NetworkNetwork 11
Hemodialysis Stations12
Medicare-Certified SinceAugust 11, 2016
Location719 BUNNY TRLSun Prairie, WI 53590 · Dane County
Phone(608) 825-6556
Services Offered
In-center hemodialysis Peritoneal dialysis Home hemodialysis training

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 Montauk Dialysis LLC's NPI number?

The NPI number for Montauk Dialysis LLC is 1457747453. It was assigned to this organization in the NPPES registry on April 7, 2015. The provider is doing business as Sun Prairie Dialysis.

Where is Montauk Dialysis LLC located?

Montauk Dialysis LLC is located at 719 Bunny Trail, Sun Prairie, WI 53590. The listed phone number is (608) 825-6556.

What is Montauk Dialysis LLC'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 Montauk Dialysis LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 52D2094907) is associated with this NPI, valid through April 26, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

Is Montauk Dialysis LLC a Medicare-certified dialysis facility?

Yes. DaVita Sun Prairie Dialysis is a Medicare-certified dialysis facility, certified since August 11, 2016.

What quality rating does Montauk Dialysis LLC have?

CMS rates DaVita Sun Prairie Dialysis 1 out of 5 stars on Care Compare. The full measure detail is in the Dialysis Facility Quality section above.

What insurance does Montauk Dialysis LLC accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Home State Health, Anthem Blue Cross and Blue Shield and HealthPartners and 1 other insurer list Montauk Dialysis LLC 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 Montauk Dialysis LLC was last updated on June 25, 2024. 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.