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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

DIERKS DIALYSIS LLC
NPI 1619442639
Clinic/Center - End-Stage Renal Disease (ESRD) Treatment in Hartford, CT

Active since October 05, 2018
80 SEYMOUR ST, HARTFORD, CT 06106(860) 244-2108(860) 244-2133 Get Directions Write a Review

NPPES record last updated: October 20, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Dec 19, 2024, Nov 8, 2023, Apr 3, 2020 and 2 more (5 updates tracked since 2018).

About Dierks Dialysis Llc NPPES

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

DIERKS DIALYSIS LLC (NPI 1619442639), doing business as Hartford Downtown Dialysis, is a healthcare organization registered as an end-stage renal disease (esrd) treatment in Hartford, Connecticut and active in the NPI registry since October 2018. The organization lists Samuel T Wey, Vp Licensure & Certification, as its authorized official.

NPPES Registry Identity

NPI1619442639
Entity TypeOrganization
Primary Taxonomy261QE0700X
Legal Business NameDIERKS DIALYSIS LLC
Location Address80 SEYMOUR STHartford, CT 06106-3300
Mailing Address5200 Virginia Way, L & C DeptBrentwood, TN 37027-7569
Phone(860) 244-2108
Fax(860) 244-2133
Organization SubpartNo
Authorized OfficialSamuel T WeyVp Licensure & Certification · (615) 341-6641
Enumeration DateOctober 5, 2018
Last NPPES UpdateOctober 20, 20265 updates tracked since enumeration
NPPES CertifiedOctober 20, 2026
✔ NPI 1619442639 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
80 SEYMOUR ST, Hartford, CT 06106
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Other Names 1

Doing Business AsHartford Downtown Dialysis

Other Identifiers 1

Medicaid008085529CT

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, UnitedHealthcare.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 07D2155996

Hartford Downtown Dialysis · Hartford, CT
Expired · Oct 8, 2026
CLIA Number07D2155996
Laboratory TypeEnd Stage Renal Disease Dialysis Facility
Certificate Effective DateOctober 9, 2024
Certificate Expiration DateOctober 8, 2026
Laboratory DirectorScott M. Benson
Laboratory Phone(860) 972-2070
Laboratory LocationHartford Downtown Dialysis80 Seymour St, Hartford, CT 06106
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JESSICA MCEWAN CRNA
Nurse Anesthetist, Certified Registered
80 SEYMOUR ST
HARTFORD, CT 06106
Capitol Planning Region (860) 545-5000
CARLY DANIELLE RADCLIFFE
Physician Assistant (Medical)
80 SEYMOUR ST
HARTFORD, CT 06106
Capitol Planning Region (860) 545-5000
ELAINE LACANILAO CRNA
Nurse Anesthetist, Certified Registered
80 SEYMOUR ST
HARTFORD, CT 06106
Capitol Planning Region (860) 545-5000
MICHAEL BRIAN BANIK APRN
Nurse Practitioner (Critical Care Medicine)
80 SEYMOUR ST
HARTFORD, CT 06106
Capitol Planning Region (860) 545-5000
EMILY TRUEBIG
Physician Assistant
80 SEYMOUR ST
HARTFORD, CT 06106
Capitol Planning Region (203) 785-2353
AASYA KOLIA PA-C
Physician Assistant (Medical)
80 SEYMOUR ST
HARTFORD, CT 06106
Capitol Planning Region (860) 972-5022
YASSER A AL-BAGHDADI M.D.
Anesthesiology
80 SEYMOUR ST, ANESTHESIA DEPT
HARTFORD, CT 06106
Capitol Planning Region (860) 545-2117
JILLIAN DZIEDZIC CRNA
Nurse Anesthetist, Certified Registered
80 SEYMOUR ST
HARTFORD, CT 06106
Capitol Planning Region (860) 545-5000

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 Dierks Dialysis LLC's NPI number?

The NPI number for Dierks Dialysis LLC is 1619442639. It was assigned to this organization in the NPPES registry on October 5, 2018. The provider is doing business as Hartford Downtown Dialysis.

Where is Dierks Dialysis LLC located?

Dierks Dialysis LLC is located at 80 Seymour St, Hartford, CT 06106. The listed phone number is (860) 244-2108.

What is Dierks 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.

What insurance does Dierks Dialysis LLC accept?

Health plans from Anthem Blue Cross and Blue Shield and UnitedHealthcare list Dierks 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 Dierks Dialysis LLC was last updated on October 20, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.