Maple Grove Dialysis LLC
NPI 1255518247 · End-Stage Renal Disease (ESRD) Treatment Clinic/Center · Maple Grove, MN
Enrolled with Medicare as Part a Provider - End-Stage Renal Disease Facility (esrd) · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Maple Grove Dialysis LLC is a End-Stage Renal Disease (ESRD) Treatment Clinic/Center organization in Maple Grove, MN (NPI 1255518247).
Provider details
- NPI number
- 1255518247
- Entity type
- Organization
- Primary specialty
- End-Stage Renal Disease (ESRD) Treatment Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Samuel Wey, Vp Licensure & Certification(615) 341-6641
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
18 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Other names (DBA / former)
- Doing business as
- Maple Grove Dialysis Unit
- Doing business as
- Maple Grove Dialysis Unit
Registry dates
- Enumerated
- 2008-01-22
- Last updated
- 2025-04-11
- Certified
- 2025-04-11
Frequently asked questions
- What is Maple Grove Dialysis LLC's NPI number?
- Maple Grove Dialysis LLC's National Provider Identifier (NPI) is 1255518247, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Maple Grove Dialysis LLC?
- Maple Grove Dialysis LLC is classified in the NPPES registry as End-Stage Renal Disease (ESRD) Treatment Clinic/Center (Ambulatory Health Care Facilities).
- Where is Maple Grove Dialysis LLC located?
- Maple Grove Dialysis LLC's practice location on file with NPPES is 15655 Grove Cir N, Maple Grove, MN 55369-4489.
- What is Maple Grove Dialysis LLC's phone number?
- The practice phone number listed in the NPPES registry for Maple Grove Dialysis LLC is (763) 420-2804.
- Does Maple Grove Dialysis LLC accept Medicare?
- Maple Grove Dialysis LLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Maple Grove Dialysis LLC?
- The authorized official listed on Maple Grove Dialysis LLC's NPPES record is Samuel Wey, Vp Licensure & Certification. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Maple Grove Dialysis LLC's NPI active?
- Yes — Maple Grove Dialysis LLC's NPI (1255518247) is active in the NPPES registry as of the last update on 2025-04-11.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.