ST. JOHN DIALYSIS, LLC
NPI 1639255243
Clinic/Center - End-Stage Renal Disease (ESRD) Treatment in Sapulpa, OK


Overall Rating: 2 out of 5 stars

NPI Status: Active since October 27, 2006

Contact Information

1013 E CLEVELAND AVE
SAPULPA, OK
ZIP 74066
Phone: (918) 227-3351

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  • Organization
  • Clinic/Center
  • End-Stage Renal Disease (ESRD) Treatment
  • CLIA Number: 37D0473397
  • CLIA Cert. Type: Hospital
  • CLIA Exp. Date: 02-11-2027

About ST. JOHN DIALYSIS, LLC

This page provides the complete NPI Profile along with additional information for St. John Dialysis, Llc, a provider established in Sapulpa, Oklahoma operating as a Clinic/center, focusing in end-stage renal disease (esrd) treatment . The healthcare provider is registered in the NPI registry with number 1639255243 assigned on October 2006. The practitioner's primary taxonomy code is 261QE0700X with license number 2265 (OK). The provider is registered as an organization and their NPI record was last updated 19 years ago. The authorized official of this NPI record is Sr. M. Therese Gottschalk (President/chief Executive Officer)

NPI
1639255243
Provider Name
ST. JOHN DIALYSIS, LLC
Entity Type
Organization
Location Address
1013 E CLEVELAND AVE SAPULPA, OK 74066
Location Phone
(918) 227-3351
Mailing Address
1923 S UTICA AVE TULSA, OK 74104
Mailing Phone
(918) 744-2345
Is Sole Proprietor?
No
Is Organization Subpart?
Yes
Enumeration Date
10-27-2006
Last Update Date
09-07-2007
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According to the Dialysis Facility Compare program data, St. John Dialysis, Llc has a below average overall quality rating based on the patient's quality of care based on data that dialysis centers report to Medicare. The Quality of Patient Star Rating for this facility is 2 out of 5 stars.

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Clinic/Center End-Stage Renal Disease (ESRD) Treatment

Taxonomy Code
261QE0700X
Type
Ambulatory Health Care Facilities
License No.
2265
License State
OK

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

SR. M. THERESE GOTTSCHALK

Authorized Official Title
PRESIDENT/CHIEF EXECUTIVE OFFICER
Authorized Official Phone
(918) 744-2180

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
000370114001OTHER (01)OKBCBS
373509MEDICARE OSCAR/CERTIFICATION (06)OK 

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.
- 2 out of 5 stars - A Below Average
Dialysis Facility TypeProfit
Is it part of a chain?Yes
Corporate NameFresenius Medical Care
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.
18
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 Date11-01-2013

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
37D0473397
Facility Type
Hospital
Certificate Effective Date
February 12, 2025
Certificate Expiration Date
February 11, 2027
Laboratory Director
DAVID KIM
Certificate Type
Certificate of Accreditation
Certificate Type Description
This is a CLIA certificate is issued to St. John Dialysis, Llc on the basis of the laboratory's accreditation by an accreditation organization approved by CMS. This type of certificate is issued to a laboratories tha perform nonwaived (moderate and/or high complexity) testing.

Reviews for ST. JOHN DIALYSIS, LLC

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1639255243, we treat the final digit (3) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 67. The final step is to find the difference between that total and the next multiple of ten (70 - 67 = 3).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
6
Unchanged
Pos 3
3
Doubled → 6
Pos 4
9
Unchanged
Pos 5
2
Doubled → 4
Pos 6
5
Unchanged
Pos 7
5
Doubled → 10 → 1 + 0
Pos 8
2
Unchanged
Pos 9
4
Doubled → 8
Check
3
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 3 → 6 2 → 4 5 → 10 → 1 4 → 8

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 6 + 6 + 9 + 4 + 5 + 1 + 0 + 2 + 8 + 24 = 67

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 67 is 70. The difference is the calculated check digit.

70 - 67 = 3
This NPI is valid
The calculated check digit is 3, which matches the last digit of 1639255243.

Other Providers at the Same Location


The following 1 provider is registered at the same or a nearby location.

Clinic/Center (End-Stage Renal Disease (ESRD) Treatment)
1013 E CLEVELAND AVE
SAPULPA, OK 74066

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1639255243, enumerated as an "organization" on October 27, 2006.

The provider is located at 1013 E CLEVELAND AVE SAPULPA, OK 74066 and the phone number is (918) 227-3351.

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

The provider might be accepting Accepts: Blue Cross Blue Shield, Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.