LAKE DELTON DIALYSIS
NPI 1639535263
Clinic/Center - End-Stage Renal Disease (ESRD) Treatment in Wisconsin Dells, WI

Active since January 12, 2016CLIA 52D2112431 · Waiver
2/5
Overall Rating
14 COUNTY ROAD P, WISCONSIN DELLS, WI 53965(608) 253-3597(608) 253-3948 Get Directions Write a Review

NPPES record last updated: August 15, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Aug 15, 2024, Mar 11, 2020, May 13, 2019 and 4 more (7 updates tracked since 2016).

About Lake Delton Dialysis NPPES

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

LAKE DELTON DIALYSIS (NPI 1639535263) is a healthcare organization registered as an end-stage renal disease (esrd) treatment in Wisconsin Dells, Wisconsin and active in the NPI registry since January 2016. The organization holds a CLIA Waiver certificate valid through April 27, 2028 and lists Samuel T Wey, Vp Licensure & Certification, as its authorized official.

NPPES Registry Identity

NPI1639535263
Entity TypeOrganization
Primary Taxonomy261QE0700X
Legal Business NameTOTAL RENAL CARE INC
Location Address14 COUNTY ROAD PWisconsin Dells, WI 53965-9764
Mailing Address5200 Virginia Way, L&c DeptBrentwood, TN 37027-7569
Fax(608) 253-3948
Organization SubpartNo
Authorized OfficialSamuel T WeyVp Licensure & Certification · (615) 341-6641
Enumeration DateJanuary 12, 2016
Last NPPES UpdateAugust 15, 20247 updates tracked since enumeration
NPPES CertifiedAugust 15, 2024
NPI 1639535263 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
14 COUNTY ROAD P, Wisconsin Dells, WI 53965

Other Names 1

Doing Business AsLake Delton Dialysis

Accepted 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 52D2112431

Lake Delton Dialysis · Wisconsin Dells, WI
Active · expires Apr 27, 2028
CLIA Number52D2112431
Laboratory TypeEnd Stage Renal Disease Dialysis Facility
Certificate Effective DateApril 28, 2026
Certificate Expiration DateApril 27, 2028
Laboratory DirectorDr. Ali I. Gardezi
Laboratory Phone(608) 253-3597
Laboratory LocationLake Delton Dialysis14 Cty Rd P, Wisconsin Dells, WI 53965
CLIA data matches this NPI record on: 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 Lake Delton Dialysis (CMS certification number 522608), from CMS Care Compare.

DaVita Lake Delton Dialysis

Dialysis facility · Wisconsin Dells, WI
2/5 CMS RatingRating period January 2020 to December 2023
OwnershipProfit
ChainDaVita
CMS Certification Number522608
ESRD NetworkNetwork 11
Hemodialysis Stations12
Medicare-Certified SinceSeptember 19, 2016
Location14 COUNTY ROAD PWisconsin Dells, WI 53965 · Sauk County
Services Offered
In-center hemodialysis Peritoneal dialysis

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 Total Renal Care Inc's NPI number?

The NPI number for Total Renal Care Inc is 1639535263. It was assigned to this organization in the NPPES registry on January 12, 2016. The provider is doing business as Lake Delton Dialysis.

Where is Total Renal Care Inc located?

Total Renal Care Inc is located at 14 County Road P, Wisconsin Dells, WI 53965. The listed phone number is (608) 253-3597.

What is Total Renal Care Inc'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 Total Renal Care Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 52D2112431) is associated with this NPI, valid through April 27, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

Is Total Renal Care Inc a Medicare-certified dialysis facility?

Yes. DaVita Lake Delton Dialysis is a Medicare-certified dialysis facility, certified since September 19, 2016.

What quality rating does Total Renal Care Inc have?

CMS rates DaVita Lake Delton Dialysis 2 out of 5 stars on Care Compare. The full measure detail is in the Dialysis Facility Quality section above.

What insurance does Total Renal Care Inc 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 Total Renal Care Inc 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 Total Renal Care Inc was last updated on August 15, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.