SAN ANGELO DIALYSIS
NPI 1699046771
Clinic/Center - End-Stage Renal Disease (ESRD) Treatment in San Angelo, TX

Active since January 20, 2012CLIA 45D2037203 · Waiver
4/5
Overall Rating
3518 KNICKERBOCKER RD, SAN ANGELO, TX 76904(325) 949-6035(325) 949-6791 Get Directions Write a Review

NPPES record last updated: April 17, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Apr 17, 2024, Jul 28, 2023, Sep 10, 2020 and 1 more (4 updates tracked since 2018).

About San Angelo Dialysis NPPES

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

SAN ANGELO DIALYSIS (NPI 1699046771) is a healthcare organization registered as an end-stage renal disease (esrd) treatment in San Angelo, Texas and active in the NPI registry since January 2012. The organization holds a CLIA Waiver certificate valid through February 21, 2028 and lists Samuel T Wey, Vp Licensure&certification, as its authorized official.

NPPES Registry Identity

NPI1699046771
Entity TypeOrganization
Primary Taxonomy261QE0700X
Legal Business NameTUMALO DIALYSIS LLC
Location Address3518 KNICKERBOCKER RDSan Angelo, TX 76904-7611
Mailing Address5200 Virginia Way, L&c DeptBrentwood, TN 37027-7569
Fax(325) 949-6791
Organization SubpartNo
Authorized OfficialSamuel T WeyVp Licensure&certification · (615) 341-6641
Enumeration DateJanuary 20, 2012
Last NPPES UpdateApril 17, 20244 updates tracked since enumeration
NPPES CertifiedApril 17, 2024
NPI 1699046771 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
3518 KNICKERBOCKER RD, San Angelo, TX 76904

Other Names 1

Doing Business AsSan Angelo Dialysis

Other Identifiers 1

Medicaid3347403-02TX

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 45D2037203

San Angelo Dialysis · San Angelo, TX
Active · expires Feb 21, 2028
CLIA Number45D2037203
Laboratory TypeEnd Stage Renal Disease Dialysis Facility
Certificate Effective DateFebruary 22, 2026
Certificate Expiration DateFebruary 21, 2028
Laboratory DirectorJohn Stevensen
Laboratory Phone(325) 949-6189
Laboratory LocationSan Angelo Dialysis3518 Knickerbocker Rd, San Angelo, TX 76904
CLIA data matches this NPI record on: Address Name
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 San Angelo Dialysis (CMS certification number 672719), from CMS Care Compare.

DaVita San Angelo Dialysis

Dialysis facility · San Angelo, TX
4/5 CMS RatingRating period January 2020 to December 2023
OwnershipProfit
ChainDaVita
CMS Certification Number672719
ESRD NetworkNetwork 14
Hemodialysis Stations12
Medicare-Certified SinceJanuary 6, 2014
Location3518 KNICKERBOCKER RDSan Angelo, TX 76904 · Tom Green County
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.
85% 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.
78% 5/5
Providing information to patients
Patients who reported their kidney doctors and center staff gave them the information they needed to care for their health.
87% 5/5
Rating of the kidney doctors
Patients who rated their kidney doctors 9 or 10 on a scale of 0 (worst) to 10 (best).
81% 5/5
Rating of the dialysis center staff
Patients who rated the center staff 9 or 10 on a scale of 0 (worst) to 10 (best).
86% 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).
81% 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 Tumalo Dialysis LLC's NPI number?

The NPI number for Tumalo Dialysis LLC is 1699046771. It was assigned to this organization in the NPPES registry on January 20, 2012. The provider is doing business as San Angelo Dialysis.

Where is Tumalo Dialysis LLC located?

Tumalo Dialysis LLC is located at 3518 Knickerbocker Rd, San Angelo, TX 76904. The listed phone number is (325) 949-6035.

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

Yes. A Certificate of Waiver (number 45D2037203) is associated with this NPI, valid through February 21, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

Is Tumalo Dialysis LLC a Medicare-certified dialysis facility?

Yes. DaVita San Angelo Dialysis is a Medicare-certified dialysis facility, certified since January 6, 2014.

What quality rating does Tumalo Dialysis LLC have?

CMS rates DaVita San Angelo Dialysis 4 out of 5 stars on Care Compare. The full measure detail is in the Dialysis Facility Quality section above.

What insurance does Tumalo Dialysis LLC accept?

Health plans from Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 4 other insurers list Tumalo 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 Tumalo Dialysis LLC was last updated on April 17, 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.