PORT ORANGE DIALYSIS
NPI 1568993947
Clinic/Center - End-Stage Renal Disease (ESRD) Treatment in Port Orange, FL

Q: What is Alterra Dialysis LLC's NPI number?

The NPI number for Alterra Dialysis LLC is 1568993947. It was assigned to this organization in the NPPES registry on March 27, 2017. The provider is doing business as Port Orange Dialysis.

Q: What is Alterra 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.

Q: What quality rating does Alterra Dialysis LLC have?

CMS rates DaVita Port Orange Davita Dialysis 3 out of 5 stars on Care Compare. The full measure detail is in the Dialysis Facility Quality section above.

Active since March 27, 2017CLIA 10D2138180 · Waiver

3/5

Overall Rating

3997 S NOVA RD, RIVERWOOD PLAZA, PORT ORANGE, FL 32127(386) 761-7961(386) 763-2150 Get Directions Write a Review

NPPES record last updated: August 12, 2024. Verified against the NPPES registry weekly; last sync: September 27, 2026.

Record update history: Aug 12, 2024, Apr 1, 2024, Dec 27, 2022 and 3 more (6 updates tracked since 2017).

On this page

About Port Orange Dialysis NPPES

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

PORT ORANGE DIALYSIS (NPI 1568993947) is a healthcare organization registered as an end-stage renal disease (esrd) treatment in Port Orange, Florida and active in the NPI registry since March 2017. The organization holds a CLIA Waiver certificate valid through October 11, 2027 and lists Samuel T. Wey, Vp, Licensure & Certification, as its authorized official.

NPPES Registry Identity

NPI1568993947

Entity TypeOrganization

Primary Taxonomy261QE0700X

Legal Business NameALTERRA DIALYSIS LLC

Location Address3997 S NOVA RD, RIVERWOOD PLAZAPort Orange, FL 32127-9296

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

Phone(386) 761-7961

Fax(386) 763-2150

Organization SubpartNo

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

Enumeration DateMarch 27, 2017

Last NPPES UpdateAugust 12, 20246 updates tracked since enumeration

NPPES CertifiedAugust 12, 2024

✔ NPI 1568993947 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

3997 S NOVA RD, Port Orange, FL 32127

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Other Names 1

Doing Business AsPort Orange Dialysis

Other Identifiers 1

Medicaid10047330FL

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter of Alabama, Florida Health Care Plans 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 10D2138180

Port Orange Dialysis · Port Orange, FL

Active · expires Oct 11, 2027

CLIA Number10D2138180

Laboratory TypeEnd Stage Renal Disease Dialysis Facility

Certificate Effective DateOctober 12, 2025

Certificate Expiration DateOctober 11, 2027

Laboratory DirectorSajid Latif

Laboratory Phone(386) 761-7961

Laboratory LocationPort Orange Dialysis3997 S Nova Road, Port Orange, FL 32127

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 Port Orange Davita Dialysis (CMS certification number 682632), from CMS Care Compare.

DaVita Port Orange Davita Dialysis

Dialysis facility · Port Orange, FL

3/5 CMS RatingRating period January 2020 to December 2023

OwnershipProfit

ChainDaVita

CMS Certification Number682632

ESRD NetworkNetwork 7

Hemodialysis Stations16

Medicare-Certified SinceFebruary 26, 2018

Location3997 S Nova RoadPort Orange, FL 32127 · Volusia County

Phone(386) 761-7961

Services Offered

In-center hemodialysis Peritoneal dialysis

Patient Survey Results

Nephrologists’ communication and caring

Patients who reported their kidney doctors always communicated well and cared for them as a person.

76% 5/5

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.

72% 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.

81% 3/5

Rating of the kidney doctors

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

72% 4/5

Rating of the dialysis center staff

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

87% 5/5

Rating of the dialysis center

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

87% 5/5

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.

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 Alterra Dialysis LLC's NPI number?

The NPI number for Alterra Dialysis LLC is 1568993947. It was assigned to this organization in the NPPES registry on March 27, 2017. The provider is doing business as Port Orange Dialysis.

Where is Alterra Dialysis LLC located?

Alterra Dialysis LLC is located at 3997 S Nova Rd Riverwood Plaza, Port Orange, FL 32127. The listed phone number is (386) 761-7961.

What is Alterra 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 Alterra Dialysis LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 10D2138180) is associated with this NPI, valid through October 11, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

Is Alterra Dialysis LLC a Medicare-certified dialysis facility?

Yes. DaVita Port Orange Davita Dialysis is a Medicare-certified dialysis facility, certified since February 26, 2018.

What quality rating does Alterra Dialysis LLC have?

CMS rates DaVita Port Orange Davita Dialysis 3 out of 5 stars on Care Compare. The full measure detail is in the Dialysis Facility Quality section above.

What insurance does Alterra Dialysis LLC accept?

Health plans from Ambetter Health, Ambetter of Alabama, Florida Health Care Plans, Molina Healthcare and Oscar Health Insurance and 7 other insurers list Alterra 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 Alterra Dialysis LLC was last updated on August 12, 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.