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


Overall Rating: 2 out of 5 stars

NPI Status: Active since April 14, 2006

Contact Information

1055 N 500 W
STE 222
PROVO, UT
ZIP 84604
Phone: (801) 356-8907
Fax: (801) 377-6832

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  • Organization
  • Clinic/Center
  • End-Stage Renal Disease (ESRD) Treatment
  • CLIA Number: 46D0954750
  • CLIA Cert. Type: End Stage Renal Disease Dialysis Facility
  • CLIA Exp. Date: 12-07-2026

About TIMPANOGOS DIALYSIS CENTER

This page provides the complete NPI Profile along with additional information for Timpanogos Dialysis Center, a provider established in Provo, Utah operating as a Clinic/center, focusing in end-stage renal disease (esrd) treatment . The healthcare provider is registered in the NPI registry with number 1831153840 assigned on April 2006. The practitioner's primary taxonomy code is 261QE0700X. The provider is registered as an organization and their NPI record was last updated 18 years ago. The provider's is doing business as Timpanogos Dialysis Center. The authorized official of this NPI record is Thomas O Usilton Jr. (Group Vice President)

NPI
1831153840
Provider Legal Name
NO ROLL UP TIMPANOGOS LLC
Other Organization Name
TIMPANOGOS DIALYSIS CENTER
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
1055 N 500 W STE 222 PROVO, UT 84604
Location Phone
(801) 356-8907
Location Fax
(801) 377-6832
Mailing Address
5200 VIRGINIA WAY STE 400 L&C BRENTWOOD, TN 37027
Mailing Phone
(615) 320-4435
Mailing Fax
(801) 377-6832
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
04-14-2006
Last Update Date
04-20-2008
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According to the Dialysis Facility Compare program data, Timpanogos Dialysis Center has a below average overall quality rating based on the patient's quality of care based on data that dialysis centers report to Medicare. The Quality of Patient Star Rating for this facility is 2 out of 5 stars.

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Clinic/Center End-Stage Renal Disease (ESRD) Treatment

Taxonomy Code
261QE0700X
Type
Ambulatory Health Care Facilities
License State
UT

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

THOMAS O USILTON JR.

Authorized Official Title
GROUP VICE PRESIDENT
Authorized Official Phone
(770) 541-7922

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
462524MEDICARE OSCAR/CERTIFICATION (06) 
=========001MEDICAID (05)UT 

Dialysis Facility Compare Information

Quality of Patient Care Rating Quality of Patient Care Rating
The Medicare program calculates star ratings using specific measure data reported by dialysis centers to Medicare and data from the In-Center Hemodialysis CAHPS Survey.
- 2 out of 5 stars - A Below Average
Dialysis Facility TypeProfit
Is it part of a chain?Yes
Corporate NameDaVita
Shifts Starting After 5PM Shifts Starting After 5PM
If you can start your dialysis treatment at 5pm or later. These centers may also offer the ability for you to receive dialysis while you sleep.
No
In-Center Hemodialysis In-Center Hemodialysis
Hemodialysis is the most common method for treating advanced and permanent kidney failure. In hemodialysis, your blood flows slowly through a filter to remove wastes and extra fluids and the clean blood is returned to your body.
No
Number of Hemodialysis Stations Number of Hemodialysis Stations
The number of hemodialysis stations in the dialysis facility.
0
Peritoneal Dialysis Peritoneal Dialysis
Peritoneal dialysis is a treatment for kidney failure that uses the lining of your abdomen, or belly, to filter your blood inside your body. It uses a soft tube to fill your abdomen with a cleansing liquid that removes waste products from your body and the liquid is drained out of your body after a few hours.
Yes
Home Hemodialysis Training Home Hemodialysis Training
If the dialysis center offers training for patients and caregivers to learn to do hemodialysis treatments at home.
No
Certification or Recertification Date03-03-1999

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
46D0954750
Facility Type
End Stage Renal Disease Dialysis Facility
Certificate Effective Date
December 08, 2024
Certificate Expiration Date
December 07, 2026
Laboratory Director
TERRY C. HAMMOND
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Timpanogos Dialysis Center to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1831153840, we treat the final digit (0) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 70. The final step is to find the difference between that total and the next multiple of ten (70 - 70 = 0).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
8
Unchanged
Pos 3
3
Doubled → 6
Pos 4
1
Unchanged
Pos 5
1
Doubled → 2
Pos 6
5
Unchanged
Pos 7
3
Doubled → 6
Pos 8
8
Unchanged
Pos 9
4
Doubled → 8
Check
0
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 3 → 6 1 → 2 3 → 6 4 → 8

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 8 + 6 + 1 + 2 + 5 + 6 + 8 + 8 + 24 = 70

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 70 is 70. The difference is the calculated check digit.

70 - 70 = 0
This NPI is valid
The calculated check digit is 0, which matches the last digit of 1831153840.

Other Providers at the Same Location


The following 20 providers are registered at the same or a nearby location.

Internal Medicine (Cardiovascular Disease)
1055 N 500 W, SUITE 101
PROVO, UT 84604
Obstetrics & Gynecology (Gynecology)
1055 N 500 W, SUITE 212
PROVO, UT 84604
Internal Medicine (Gastroenterology)
1055 N 500 W, SUITE 100 BLDG B
PROVO, UT 84604
Orthopaedic Surgery
1055 N 500 W
PROVO, UT 84604
Dietitian, Registered
1055 N 500 W, SUITE 122
PROVO, UT 84604
Nurse Practitioner (Family)
1055 N 500 W, SUITE 202
PROVO, UT 84604
Internal Medicine (Nephrology)
1055 N 500 W
PROVO, UT 84604
Physical Therapist (Hand)
1055 N 500 W, SUITE 122
PROVO, UT 84604
Nurse Practitioner
1055 N 500 W, SUITE 202
PROVO, UT 84604
Physical Therapist
1055 N 500 W, SUITE 122
PROVO, UT 84604
Physician Assistant
1055 N 500 W, SUITE 121
PROVO, UT 84604
Internal Medicine
1055 N 500 W, SUITE 212
PROVO, UT 84604
Internal Medicine (Infectious Disease)
1055 N 500 W, SUITE 202
PROVO, UT 84604
Physician Assistant
1055 N 500 W, SUITE 222
PROVO, UT 84604
Physician Assistant (Surgical)
1055 N 500 W, SUITE 121
PROVO, UT 84604
Internal Medicine (Rheumatology)
1055 N 500 W, SUITE 212
PROVO, UT 84604
Physician Assistant
1055 N 500 W
PROVO, UT 84604
Dietitian, Registered
1055 N 500 W, SUITE 122
PROVO, UT 84604
Physician Assistant (Surgical)
1055 N 500 W
PROVO, UT 84604
Family Medicine (Hospice and Palliative Medicine)
1055 N 500 W, SUITE 202
PROVO, UT 84604

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1831153840, enumerated as an "organization" on April 14, 2006.

The provider is located at 1055 N 500 W STE 222 PROVO, UT 84604 and the phone number is (801) 356-8907.

Clinic/Center with taxonomy code 261QE0700X and a focus in End-Stage Renal Disease (ESRD) Treatment.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.