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MACHESNEY BAY DIALYSIS LLC
NPI 1770957599
Clinic/Center - End-Stage Renal Disease (ESRD) Treatment in Machesney Park, IL

Active since November 17, 2015CLIA 14D2104799 · Waiver
3/5
Overall Rating
7170 N PERRYVILLE RD, MACHESNEY PARK, IL 61115(815) 885-8132(815) 885-8178 Get Directions Write a Review

NPPES record last updated: June 5, 2025. Verified against the NPPES registry weekly; last sync: October 04, 2026.

Record update history: Jun 5, 2025, Aug 18, 2023, Nov 2, 2022 and 6 more (9 updates tracked since 2015).

About Machesney Bay Dialysis Llc NPPES

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

MACHESNEY BAY DIALYSIS LLC (NPI 1770957599), doing business as Machesney Park Dialysis, is a healthcare organization registered as an end-stage renal disease (esrd) treatment in Machesney Park, Illinois and active in the NPI registry since November 2015. The organization holds a CLIA Waiver certificate valid through November 11, 2027 and lists Samuel T Wey, Vp, Licensure & Certification, as its authorized official.

NPPES Registry Identity

NPI1770957599
Entity TypeOrganization
Primary Taxonomy261QE0700X
Legal Business NameMACHESNEY BAY DIALYSIS LLC
Location Address7170 N PERRYVILLE RDMachesney Park, IL 61115-7700
Mailing Address5200 Virginia Way, L&c DeptBrentwood, TN 37027-7569
Phone(815) 885-8132
Fax(815) 885-8178
Organization SubpartNo
Authorized OfficialSamuel T WeyVp, Licensure & Certification · (615) 341-6641
Enumeration DateNovember 17, 2015
Last NPPES UpdateJune 5, 20259 updates tracked since enumeration
NPPES CertifiedJune 5, 2025
✔ NPI 1770957599 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
7170 N PERRYVILLE RD, Machesney Park, IL 61115
Open in Google Maps ↗

Other Names 1

Doing Business AsMachesney Park Dialysis

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Home State Health, 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 14D2104799

Machesney Park Dialysis · Machesney Park, IL
Active · expires Nov 11, 2027
CLIA Number14D2104799
Laboratory TypeEnd Stage Renal Disease Dialysis Facility
Certificate Effective DateNovember 12, 2025
Certificate Expiration DateNovember 11, 2027
Laboratory DirectorMichael Robertson
Laboratory Phone(615) 341-5819
Laboratory LocationMachesney Park Dialysis7170 N Perryville Rd, Machesney Park, IL 61115
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 Machesney Park Dialysis (CMS certification number 142806), from CMS Care Compare.

DaVita Machesney Park Dialysis

Dialysis facility · Machesney Park, IL
3/5 CMS RatingRating period January 2020 to December 2023
OwnershipProfit
ChainDaVita
CMS Certification Number142806
ESRD NetworkNetwork 10
Hemodialysis Stations12
Medicare-Certified SinceOctober 7, 2016
Location7170 N. Perryville RoadMachesney Park, IL 61115 · Winnebago County
Phone(815) 885-8132
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 Machesney Bay Dialysis LLC's NPI number?

The NPI number for Machesney Bay Dialysis LLC is 1770957599. It was assigned to this organization in the NPPES registry on November 17, 2015. The provider is doing business as Machesney Park Dialysis.

Where is Machesney Bay Dialysis LLC located?

Machesney Bay Dialysis LLC is located at 7170 N Perryville Rd, Machesney Park, IL 61115. The listed phone number is (815) 885-8132.

What is Machesney Bay 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 Machesney Bay Dialysis LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 14D2104799) is associated with this NPI, valid through November 11, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

Is Machesney Bay Dialysis LLC a Medicare-certified dialysis facility?

Yes. DaVita Machesney Park Dialysis is a Medicare-certified dialysis facility, certified since October 7, 2016.

What quality rating does Machesney Bay Dialysis LLC have?

CMS rates DaVita Machesney Park Dialysis 3 out of 5 stars on Care Compare. The full measure detail is in the Dialysis Facility Quality section above.

What insurance does Machesney Bay Dialysis LLC accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Home State Health and UnitedHealthcare list Machesney Bay 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 Machesney Bay Dialysis LLC was last updated on June 5, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.