Lantell Dialysis LLC

Primary specialty

End-Stage Renal Disease (ESRD) Treatment Clinic/CenterTaxonomy code 261QE0700X

Legal business name

LANTELL DIALYSIS LLC

Doing business as

Blue Ridge Dialysis

Practice address

8608 E 63Rd St
Kansas City, MO 64133-4725

Phone

(816) 353-6100

Fax

(816) 353-6106

NPI assigned

Jun 14, 2018

Organization subpart

No

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

Authorized official

Name

Samuel Wey

Title

VP Licensure & Certification

Phone

(615) 341-6641

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Blue Ridge Dialysis Doing business as

Medicare fee-for-service enrollment

Enrolled in MO

Enrollment records 1

Listed as

DaVita Blue Ridge DialysisCCN 262694

Overall star rating

3.0 of 5

Ownership

Profit

Certified

Dec 5, 2018

Medicare certification status

ActiveFrom the Provider of Services file

Chain

DaVita

Dialysis stations

20

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

CLIA laboratory certificates

Member of 2

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

• Dva Healthcare Renal Care Inc

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Pearsall, TX
  • NPI 1194789859

  Member Of

  NPD member
• Isd Renal Inc

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Canton, OH
  • NPI 1629596267

  Member Of

  NPD member

Networks

• devoted network organization-4d06b5ed-aefa-4033-b81c-2adf126fd114

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Christine Odell, RN

  • Hemodialysis Registered Nurse
  • Kansas City, MO
  • NPI 1568325520
  NPD
• Rafael Torosyan, MD

  • Nephrology Physician
  • Thornton, CO
  • NPI 1578901625
  NPD (past)

Affiliated clinicians 3

Clinicians who list this facility as an affiliation in Medicare Care Compare.

• Hameed Ahmad, M.D.

  • Hospitalist Physician
  • Kansas City, MO
  • NPI 1144437310

  Dialysis facility

  Care Compare affiliation Name & address match
• Irme Akhtar, MD

  • Nephrology Physician
  • Kansas City, MO
  • NPI 1083891535

  Dialysis facility

  Care Compare affiliation Name & address match
• Kyrstin Alexander, DO

  • Nephrology Physician
  • Kansas City, MO
  • NPI 1174901870

  Dialysis facility

  Care Compare affiliation Name & address match

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

{
    "created_epoch": "1528934400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1783987200000",
    "number": "1033602990",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5200 VIRGINIA WAY",
            "address_2": "L & C DEPARTMENT",
            "city": "BRENTWOOD",
            "state": "TN",
            "postal_code": "370277569"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8608 E 63RD ST",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641334725",
            "telephone_number": "816-353-6100",
            "fax_number": "816-353-6106"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LANTELL DIALYSIS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-06-14",
        "last_updated": "2026-07-14",
        "certification_date": "2026-07-14",
        "status": "A",
        "authorized_official_last_name": "WEY",
        "authorized_official_first_name": "SAMUEL",
        "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": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "500064987",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Blue Ridge Dialysis",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Matthew Elbridge Langston
• Maxwell Lanham
• Nanette Lanier
• Gabrielle C Lanka, FNP-C
• Kamani M Lankachandra, M.D.
• Patricia A Lanzer, RNC, NNP
• Teresita Laoruangroch, FNP-BC
• Michael Lapelusa, MD
• Cristina Iveth Lapietra
• Jana Lappin, PHARMD

• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Kansas City, MO
• Providers in Kansas City, MO by specialty
• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 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.