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CLEVELAND PD
NPI 1942578422
Clinic/Center - End-Stage Renal Disease (ESRD) Treatment in Oklahoma City, OK

Active since December 12, 2011CLIA 37D2034944 · Waiver
4/5
Overall Rating
1059 SE 82ND ST, OKLAHOMA CITY, OK 73149(405) 512-6912(405) 512-6918 Get Directions Write a Review

NPPES record last updated: September 17, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Sep 17, 2024, Jul 11, 2024, Oct 13, 2023 and 3 more (6 updates tracked since 2019).

About Cleveland Pd NPPES

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

CLEVELAND PD (NPI 1942578422) is a healthcare organization registered as an end-stage renal disease (esrd) treatment in Oklahoma City, Oklahoma and active in the NPI registry since December 2011. The organization holds a CLIA Waiver certificate valid through January 5, 2028 and lists Samuel Wey, Vp Licensure & Certification, as its authorized official.

NPPES Registry Identity

NPI1942578422
Entity TypeOrganization
Primary Taxonomy261QE0700X
Legal Business NameRUSK DIALYSIS. LLC
Location Address1059 SE 82ND STOklahoma City, OK 73149-2999
Mailing Address5200 Virginia Way, L&c DepartmentBrentwood, TN 37027-7569
Phone(405) 512-6912
Fax(405) 512-6918
Organization SubpartNo
Authorized OfficialSamuel WeyVp Licensure & Certification · (615) 341-6641
Enumeration DateDecember 12, 2011
Last NPPES UpdateSeptember 17, 20246 updates tracked since enumeration
NPPES CertifiedSeptember 17, 2024
✔ NPI 1942578422 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
1059 SE 82ND ST, Oklahoma City, OK 73149
Open in Google Maps ↗

Other Names 1

Doing Business AsCleveland Pd

Other Identifiers 1

Medicaid200451170AOK

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Sunflower Health Plan 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 37D2034944

Cleveland Pd · Oklahoma City, OK
Active · expires Jan 5, 2028
CLIA Number37D2034944
Laboratory TypeEnd Stage Renal Disease Dialysis Facility
Certificate Effective DateJanuary 6, 2026
Certificate Expiration DateJanuary 5, 2028
Laboratory DirectorDavid Williams
Laboratory Phone(405) 512-6912
Laboratory LocationCleveland Pd1059 SE 82nd Street, Oklahoma City, OK 73149
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 Cleveland PD (CMS certification number 372579), from CMS Care Compare.

DaVita Cleveland PD

Dialysis facility · Oklahoma City, OK
4/5 CMS RatingRating period January 2020 to December 2023
OwnershipProfit
ChainDaVita
CMS Certification Number372579
ESRD NetworkNetwork 13
Hemodialysis Stations8
Medicare-Certified SinceOctober 14, 2010
Location1059 SE 82nd STOklahoma City, OK 73149 · Oklahoma County
Phone(405) 512-6912
Services Offered
Peritoneal dialysis

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 Rusk Dialysis. LLC's NPI number?

The NPI number for Rusk Dialysis. LLC is 1942578422. It was assigned to this organization in the NPPES registry on December 12, 2011. The provider is doing business as Cleveland Pd.

Where is Rusk Dialysis. LLC located?

Rusk Dialysis. LLC is located at 1059 SE 82nd St, Oklahoma City, OK 73149. The listed phone number is (405) 512-6912.

What is Rusk 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 Rusk Dialysis. LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 37D2034944) is associated with this NPI, valid through January 5, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

Is Rusk Dialysis. LLC a Medicare-certified dialysis facility?

Yes. DaVita Cleveland PD is a Medicare-certified dialysis facility, certified since October 14, 2010.

What quality rating does Rusk Dialysis. LLC have?

CMS rates DaVita Cleveland PD 4 out of 5 stars on Care Compare. The full measure detail is in the Dialysis Facility Quality section above.

What insurance does Rusk Dialysis. LLC accept?

Health plans from Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Sunflower Health Plan, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 9 other insurers list Rusk 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 Rusk Dialysis. LLC was last updated on September 17, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 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.