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CITY LINE DIALYSIS
NPI 1710227822
Clinic/Center - End-Stage Renal Disease (ESRD) Treatment in Philadelphia, PA

Active since February 26, 2013CLIA 39D2062166 · Waiver
5/5
Overall Rating
4508 CITY LINE AVE, PHILADELPHIA, PA 19131(215) 473-3071(215) 879-8305 Get Directions Write a Review

NPPES record last updated: January 6, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jan 6, 2025, Feb 22, 2023, Jun 17, 2020 and 1 more (4 updates tracked since 2018).

About City Line Dialysis NPPES

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

CITY LINE DIALYSIS (NPI 1710227822) is a healthcare organization registered as an end-stage renal disease (esrd) treatment in Philadelphia, Pennsylvania and active in the NPI registry since February 2013. The organization holds a CLIA Waiver certificate valid through July 10, 2027 and lists Samuel Wey, Vp, Licensure & Certification, as its authorized official.

NPPES Registry Identity

NPI1710227822
Entity TypeOrganization
Primary Taxonomy261QE0700X
Legal Business NameTOTAL RENAL CARE INC
Location Address4508 CITY LINE AVEPhiladelphia, PA 19131-1509
Mailing Address5200 Virginia Way, L&c DeptBrentwood, TN 37027-7569
Phone(215) 473-3071
Fax(215) 879-8305
Organization SubpartNo
Authorized OfficialSamuel WeyVp, Licensure & Certification · (615) 341-6641
Enumeration DateFebruary 26, 2013
Last NPPES UpdateJanuary 6, 20254 updates tracked since enumeration
NPPES CertifiedJanuary 6, 2025
✔ NPI 1710227822 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
4508 CITY LINE AVE, Philadelphia, PA 19131
Open in Google Maps ↗

Other Names 1

Doing Business AsCity Line Dialysis

Other Identifiers 1

Medicaid1007734290034PA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter Health, Ambetter Health of Delaware 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 39D2062166

City Line Dialysis · Philadelphia, PA
Active · expires Jul 10, 2027
CLIA Number39D2062166
Laboratory TypeEnd Stage Renal Disease Dialysis Facility
Certificate Effective DateJuly 11, 2025
Certificate Expiration DateJuly 10, 2027
Laboratory DirectorDr. Rakesh Gulati MD
Laboratory Phone(215) 473-3071
Laboratory LocationCity Line Dialysis4508 City Line Ave, Philadelphia, PA 19131
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 City Line Dialysis (CMS certification number 392809), from CMS Care Compare.

DaVita City Line Dialysis

Dialysis facility · Philadelphia, PA
5/5 CMS RatingRating period January 2020 to December 2023
OwnershipProfit
ChainDaVita
CMS Certification Number392809
ESRD NetworkNetwork 4
Hemodialysis Stations17
Medicare-Certified SinceJune 24, 2013
Location4508 City Line Ave.Philadelphia, PA 19131 · Philadelphia County
Phone(215) 473-3071
Services Offered
In-center hemodialysis

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 1710227822. It was assigned to this organization in the NPPES registry on February 26, 2013. The provider is doing business as City Line Dialysis.

Where is Total Renal Care Inc located?

Total Renal Care Inc is located at 4508 City Line Ave, Philadelphia, PA 19131. The listed phone number is (215) 473-3071.

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 39D2062166) is associated with this NPI, valid through July 10, 2027. 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 City Line Dialysis is a Medicare-certified dialysis facility, certified since June 24, 2013.

What quality rating does Total Renal Care Inc have?

CMS rates DaVita City Line Dialysis 5 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 Buckeye Health Plan, Oscar Health Insurance and Oscar Health Maintenance Organization of Florida and 5 other insurers 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 January 6, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 months 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.