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TIMPANOGOS DIALYSIS CENTER
NPI 1831153840
Clinic/Center - End-Stage Renal Disease (ESRD) Treatment in Provo, UT

Active since April 14, 2006CLIA 46D0954750 · Waiver
2/5
Overall Rating
1055 N 500 W, STE 222, PROVO, UT 84604(801) 356-8907(801) 377-6832 Get Directions Write a Review

NPPES record last updated: April 20, 2008. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Timpanogos Dialysis Center NPPES

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

TIMPANOGOS DIALYSIS CENTER (NPI 1831153840) is a healthcare organization registered as an end-stage renal disease (esrd) treatment in Provo, Utah and active in the NPI registry since April 2006. The organization holds a CLIA Waiver certificate valid through December 7, 2026 and lists Thomas O Usilton, Group Vice President, as its authorized official.

NPPES Registry Identity

NPI1831153840
Entity TypeOrganization
Primary Taxonomy261QE0700X
Legal Business NameNO ROLL UP TIMPANOGOS LLC
Location Address1055 N 500 W, STE 222Provo, UT 84604-3329
Mailing Address5200 Virginia Way, Ste 400 L&cBrentwood, TN 37027-7569 · (615) 320-4435 · Fax (303) 209-7821
Phone(801) 356-8907
Fax(801) 377-6832
Organization SubpartNo
Authorized OfficialThomas O UsiltonGroup Vice President · (770) 541-7922
Enumeration DateApril 14, 2006
Last NPPES UpdateApril 20, 2008
✔ NPI 1831153840 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
1055 N 500 W, Provo, UT 84604
Open in Google Maps ↗

Other Names 1

Doing Business AsTimpanogos Dialysis Center

Other Identifiers 2

Medicare OSCAR/certification462524
Medicaid=========001UT

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 46D0954750

Timpanogos Dialysis · Provo, UT
Active · expires Dec 7, 2026
CLIA Number46D0954750
Laboratory TypeEnd Stage Renal Disease Dialysis Facility
Certificate Effective DateDecember 8, 2024
Certificate Expiration DateDecember 7, 2026
Laboratory DirectorTerry C. Hammond
Laboratory Phone(801) 356-8907
Laboratory LocationTimpanogos Dialysis1055 N 500 W Ste 222, Provo, UT 84604
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 Timpanogos Dialysis (CMS certification number 462524), from CMS Care Compare.

DaVita Timpanogos Dialysis

Dialysis facility · Provo, UT
2/5 CMS RatingRating period January 2020 to December 2023
OwnershipProfit
ChainDaVita
CMS Certification Number462524
ESRD NetworkNetwork 15
Medicare-Certified SinceMarch 3, 1999
Location1055 N 500 W STE 222Provo, UT 84604 · Utah County
Phone(801) 356-8907
Services Offered
Peritoneal dialysis

Other Providers at the Same Location NPPES 20

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

ASHLEY SAUNDERS
Family Medicine
1055 N 500 W
PROVO, UT 84604
Utah County (801) 812-5033
CRYSTAL C HUFFAKER FNP
Nurse Practitioner (Family)
1055 N 500 W, STE 211, BUILDING C
PROVO, UT 84604
Utah County (801) 357-7327
SCOTT DELAFIELD EVANS MD
Orthopaedic Surgery (Hand Surgery)
1055 N 500 W, STE 121, BUILDING C
PROVO, UT 84604
Utah County (801) 373-7350
EVAN SCOTT NIELSEN MD
Orthopaedic Surgery
1055 N 500 W, STE 121
PROVO, UT 84604
Utah County (801) 373-7350
ROSANNE JOHNSON OLIVER FNP
Nurse Practitioner (Family)
1055 N 500 W, STE 205
PROVO, UT 84604
Utah County (801) 429-8095
LESLEE RONALD ADAMS NP
Nurse Practitioner (Family)
1055 N 500 W, STE 211
PROVO, UT 84604
Utah County (801) 357-7327
WYATT JAMES BOLES DO
Family Medicine
1055 N 500 W, BLDG A
PROVO, UT 84604
Utah County (801) 812-5033
DR. REX F RIPPLINGER MD
Internal Medicine
1055 N 500 W
PROVO, UT 84604
Utah County (801) 429-8000

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 No Roll Up Timpanogos LLC's NPI number?

The NPI number for No Roll Up Timpanogos LLC is 1831153840. It was assigned to this organization in the NPPES registry on April 14, 2006. The provider is doing business as Timpanogos Dialysis Center.

Where is No Roll Up Timpanogos LLC located?

No Roll Up Timpanogos LLC is located at 1055 N 500 W Ste 222, Provo, UT 84604. The listed phone number is (801) 356-8907.

What is No Roll Up Timpanogos 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 No Roll Up Timpanogos LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 46D0954750) is associated with this NPI, valid through December 7, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

Is No Roll Up Timpanogos LLC a Medicare-certified dialysis facility?

Yes. DaVita Timpanogos Dialysis is a Medicare-certified dialysis facility, certified since March 3, 1999.

What quality rating does No Roll Up Timpanogos LLC have?

CMS rates DaVita Timpanogos Dialysis 2 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 No Roll Up Timpanogos LLC was last updated on April 20, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.