Organization Active NPI

Eckley Dialysis, LLC

Doing business as Hyattsville Dialysis

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Hyattsville, MD
National Provider Identifier
1023685955
Registry record updated Sep 28, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
End-Stage Renal Disease (ESRD) Treatment Clinic/CenterTaxonomy code 261QE0700X
Legal business name
ECKLEY DIALYSIS, LLC
Doing business as
Hyattsville Dialysis
Practice address
5803 Eastern Ave Ste a
Hyattsville, MD 20782-2201
Phone
(240) 825-2334
Fax
(240) 825-2528
NPI assigned
Jun 9, 2021
Last updated
Sep 28, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 28, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Samuel T Wey
Title
VP Licensure & Certification
Phone
(615) 341-6641

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
End-Stage Renal Disease (ESRD) Treatment Clinic/Center 261QE0700X Primary

Addresses

Primary practice location

5803 Eastern Ave Ste a
Hyattsville, MD 20782-2201

Mailing address

5200 Virginia Way
Licensure and Certification Department
Brentwood, TN 37027-7569

Other names 1

  • Hyattsville Dialysis Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220422000731 MD Part A Provider - End-Stage Renal Disease Facility (ESRD) 2163819020 Practice locations: Hyattsville, MD

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
21D2233536Hyattsville Dialysis5803A Eastern Ave, Hyattsville, MD 20782Certificate of waiverAug 23, 2027

National Provider Directory

National Provider Directory

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Locations

5803 Eastern Ave
#A
Hyattsville, MD 20782
Phone (240) 825-2334

5803 Eastern Ave
Ste A
Hyattsville, MD 20782
Phone (240) 825-2334

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1623196800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1790553600000",
    "number": "1023685955",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5200 VIRGINIA WAY",
            "address_2": "LICENSURE AND CERTIFICATION DEPARTMENT",
            "city": "BRENTWOOD",
            "state": "TN",
            "postal_code": "370277569"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5803 EASTERN AVE STE A",
            "city": "HYATTSVILLE",
            "state": "MD",
            "postal_code": "207822201",
            "telephone_number": "240-825-2334",
            "fax_number": "240-825-2528"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ECKLEY DIALYSIS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-06-09",
        "last_updated": "2026-09-28",
        "certification_date": "2026-09-28",
        "status": "A",
        "authorized_official_last_name": "WEY",
        "authorized_official_first_name": "SAMUEL",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "VP LICENSURE & CERTIFICATION",
        "authorized_official_telephone_number": "615-341-6641"
    },
    "taxonomies": [
        {
            "code": "261QE0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, End-Stage Renal Disease (ESRD) Treatment",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Hyattsville Dialysis",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Hyattsville Dialysis",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Hyattsville, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.