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ITHACA DIALYSIS CENTER
NPI 1760647150
Clinic/Center - End-Stage Renal Disease (ESRD) Treatment in Ithaca, NY

Active since July 24, 2008CLIA 33D2321767 · Waiver
5/5
Overall Rating
201 DATES DR, STE 206, ITHACA, NY 14850(607) 272-1693(607) 273-5580 Get Directions Write a Review

NPPES record last updated: July 24, 2008. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Ithaca Dialysis Center NPPES

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

ITHACA DIALYSIS CENTER (NPI 1760647150) is a healthcare organization registered as an end-stage renal disease (esrd) treatment in Ithaca, New York and active in the NPI registry since July 2008. The organization holds a CLIA Waiver certificate valid through March 26, 2027 and lists Jim Hilger, Vice President, as its authorized official.

NPPES Registry Identity

NPI1760647150
Entity TypeOrganization
Primary Taxonomy261QE0700X
Legal Business NameDAVITA OF NEW YORK INC
Location Address201 DATES DR, STE 206Ithaca, NY 14850-1345
Mailing Address5200 Virginia Way, Ste 400 L&cBrentwood, TN 37027-7569 · (615) 320-4521 · Fax (866) 594-2894
Phone(607) 272-1693
Fax(607) 273-5580
Organization SubpartNo
Authorized OfficialJim HilgerVice President · (253) 382-1919
Enumeration DateJuly 24, 2008
✔ NPI 1760647150 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
201 DATES DR, Ithaca, NY 14850
Open in Google Maps ↗

Other Names 1

Doing Business AsIthaca Dialysis Center

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 33D2321767

Ithaca Dialysis Center · Ithaca, NY
Active · expires Mar 26, 2027
CLIA Number33D2321767
Laboratory TypeEnd Stage Renal Disease Dialysis Facility
Certificate Effective DateApril 9, 2025
Certificate Expiration DateMarch 26, 2027
Laboratory DirectorDr. Michael Lioudis
Laboratory Phone(607) 272-1693
Laboratory LocationIthaca Dialysis Center201 Dates Dr - Suite 206, Ithaca, NY 14850
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 Ithaca Dialysis Center (CMS certification number 332536), from CMS Care Compare.

DaVita Ithaca Dialysis Center

Dialysis facility · Ithaca, NY
5/5 CMS RatingRating period January 2020 to December 2023
OwnershipProfit
ChainDaVita
CMS Certification Number332536
ESRD NetworkNetwork 2
Hemodialysis Stations12
Medicare-Certified SinceNovember 17, 1988
Location201 DATES DRIVE Suite 206Ithaca, NY 14850 · Tompkins County
Phone(607) 272-1693
Services Offered
In-center hemodialysis Peritoneal dialysis Home hemodialysis training

Other Providers at the Same Location NPPES 11

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

FARIS MOH'D MAHDI ALHAJ SA KAMAL MD
Internal Medicine (Nephrology)
201 DATES DR
ITHACA, NY 14850
Tompkins County (607) 339-0630
SHAUN M COBB RPH
Pharmacist (Oncology)
201 DATES DR, SUITE 102
ITHACA, NY 14850
Tompkins County (607) 252-3307
DR. ANDREW J. MORPURGO M.D.
Physical Medicine & Rehabilitation
201 DATES DR, SUITE 201
ITHACA, NY 14850
Tompkins County (607) 277-4097
DANA GABRIELA NEGOI MD
Internal Medicine (Nephrology)
201 DATES DR
ITHACA, NY 14850
Tompkins County (607) 273-9111
LEANNA ELIZABETH WEINERT-WATSON
Nurse Practitioner (Family)
201 DATES DR
ITHACA, NY 14850
Tompkins County (607) 277-2365
DR. REILLY WASHINGTON COCH MD
Internal Medicine (Endocrinology, Diabetes & Metabolism)
201 DATES DR
ITHACA, NY 14850
Tompkins County (607) 257-5858
DR. MELISSA W THIBAULT M.D.
Physical Medicine & Rehabilitation
201 DATES DR, SUITE 201
ITHACA, NY 14850
Tompkins County (607) 277-4097
EMPIRE STATE DC INC
Clinic/Center (End-Stage Renal Disease (ESRD) Treatment)
201 DATES DR, STE 206
ITHACA, NY 14850
Tompkins County (607) 272-1693

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 Davita Of New York Inc's NPI number?

The NPI number for Davita Of New York Inc is 1760647150. It was assigned to this organization in the NPPES registry on July 24, 2008. The provider is doing business as Ithaca Dialysis Center.

Where is Davita Of New York Inc located?

Davita Of New York Inc is located at 201 Dates Dr Ste 206, Ithaca, NY 14850. The listed phone number is (607) 272-1693.

What is Davita Of New York 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 Davita Of New York Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 33D2321767) is associated with this NPI, valid through March 26, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

Is Davita Of New York Inc a Medicare-certified dialysis facility?

Yes. DaVita Ithaca Dialysis Center is a Medicare-certified dialysis facility, certified since November 17, 1988.

What quality rating does Davita Of New York Inc have?

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

When was this NPI record last updated?

The NPPES record for Davita Of New York Inc was last updated on July 24, 2008. NPI Profile syncs with the weekly NPPES data releases published by CMS.