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SHAKER SQUARE DIALYSIS
NPI 1780734012
Clinic/Center - End-Stage Renal Disease (ESRD) Treatment in Cleveland, OH

Active since January 11, 2007
1/5
Overall Rating
12800 SHAKER BLVD, STE 1, CLEVELAND, OH 44120(216) 491-4867(216) 491-4925 Get Directions Write a Review

NPPES record last updated: July 11, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 11, 2024, Aug 3, 2022, Jul 27, 2020 and 2 more (5 updates tracked since 2018).

About Shaker Square Dialysis NPPES

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

SHAKER SQUARE DIALYSIS (NPI 1780734012) is a healthcare organization registered as an end-stage renal disease (esrd) treatment in Cleveland, Ohio and active in the NPI registry since January 2007. The organization lists Samuel Wey, Vp Licensure & Certification, as its authorized official.

NPPES Registry Identity

NPI1780734012
Entity TypeOrganization
Primary Taxonomy261QE0700X
Legal Business NameST LUKES DIALYSIS LLC
Location Address12800 SHAKER BLVD, STE 1Cleveland, OH 44120-2000
Mailing Address5200 Virginia Way, Att: L&c DeptBrentwood, TN 37027-7569
Phone(216) 491-4867
Fax(216) 491-4925
Organization SubpartNo
Authorized OfficialSamuel WeyVp Licensure & Certification · (615) 341-6641
Enumeration DateJanuary 11, 2007
Last NPPES UpdateJuly 11, 20245 updates tracked since enumeration
NPPES CertifiedJuly 11, 2024
✔ NPI 1780734012 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
License✔ Licensed in OH · 0294DC
12800 SHAKER BLVD, Cleveland, OH 44120
Open in Google Maps ↗

Other Names 1

Doing Business AsShaker Square Dialysis

Other Identifiers 1

Medicaid2823207OH

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health 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 36D0917850

Shaker Square Dialysis · Cleveland, OH
Expired · Jul 28, 2026
CLIA Number36D0917850
Laboratory TypeEnd Stage Renal Disease Dialysis Facility
Certificate Effective DateJuly 29, 2024
Certificate Expiration DateJuly 28, 2026
Laboratory DirectorOluwaseun Opelami
Laboratory Phone(216) 491-4867
Laboratory LocationShaker Square Dialysis12800 Shaker Blvd, Ste 1, Cleveland, OH 44120
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 Shaker Square Dialysis (CMS certification number 362560), from CMS Care Compare.

DaVita Shaker Square Dialysis

Dialysis facility · Cleveland, OH
1/5 CMS RatingRating period January 2020 to December 2023
OwnershipProfit
ChainDaVita
CMS Certification Number362560
ESRD NetworkNetwork 9
Hemodialysis Stations22
Medicare-Certified SinceJuly 22, 1996
Location12800 SHAKER BLVD, STE. 1Cleveland, OH 44120 · Cuyahoga County
Phone(216) 491-4867
Services Offered
In-center hemodialysis Peritoneal dialysis Home hemodialysis training

Other Providers at the Same Location NPPES 6

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

GOLDEN HEART COMPANIONSHIP LLC
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
12800 SHAKER BLVD
CLEVELAND, OH 44120
Cuyahoga County (440) 381-5556
CARE ACCESS HOME CARE LLC
Home Health
12800 SHAKER BLVD
CLEVELAND, OH 44120
Cuyahoga County (419) 936-8629
HILLMED SURGICAL CORPORATION
Durable Medical Equipment & Medical Supplies (Oxygen Equipment & Supplies)
12800 SHAKER BLVD
CLEVELAND, OH 44120
Cuyahoga County (216) 619-4900
MOWLANA MEDICAL TRANSPORTATION LLC
Non-emergency Medical Transport (VAN)
12800 SHAKER BLVD
CLEVELAND, OH 44120
Cuyahoga County (216) 386-6335
VITALCARE SOLUTIONS, LLC
Home Health
12800 SHAKER BLVD
CLEVELAND, OH 44120
Cuyahoga County (405) 561-2991
MERCY HOME HEALTHCARE SERVICES LLC
Home Health
12800 SHAKER BLVD, STE 220D
CLEVELAND, OH 44120
Cuyahoga County (614) 285-5771

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 St Lukes Dialysis LLC's NPI number?

The NPI number for St Lukes Dialysis LLC is 1780734012. It was assigned to this organization in the NPPES registry on January 11, 2007. The provider is doing business as Shaker Square Dialysis.

Where is St Lukes Dialysis LLC located?

St Lukes Dialysis LLC is located at 12800 Shaker Blvd Ste 1, Cleveland, OH 44120. The listed phone number is (216) 491-4867.

What is St Lukes 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.

Is St Lukes Dialysis LLC a Medicare-certified dialysis facility?

Yes. DaVita Shaker Square Dialysis is a Medicare-certified dialysis facility, certified since July 22, 1996.

What quality rating does St Lukes Dialysis LLC have?

CMS rates DaVita Shaker Square Dialysis 1 out of 5 stars on Care Compare. The full measure detail is in the Dialysis Facility Quality section above.

What insurance does St Lukes Dialysis LLC accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and CareSource and 10 other insurers list St Lukes 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 St Lukes Dialysis LLC was last updated on July 11, 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.