Dva Healthcare of Maryland LLC
Organization Active NPI End-Stage Renal Disease (ESRD) Treatment Clinic/Center · Dundalk, MD
NPI 1144280736 · NPPES record last updated Feb 18, 2026
Key facts
- NPI
- 1144280736
- Entity type
- Organization (NPI type 2)
- Primary specialty
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center 261QE0700X
- License
- E2616 (MD)
- Legal business name
- DVA HEALTHCARE OF MARYLAND LLC
- Practice address
- 14 Commerce St
Dundalk, MD 21222-4307 - Phone
- (410) 284-9000
- Fax
- (410) 284-5584
- NPI assigned
- Mar 27, 2006
- Organization subpart
- No
Authorized official
- Name
- Samuel T Wey
- Title
- VP Licensure & Certification
- Phone
- (615) 341-6641
Other NPIs with the same Medicare PAC ID 7
Corporate family (same tax ID) 9
Member of 1
Affiliated clinicians 2
-
Sumeska Thavarajah, M.D.
-
Kenneth Yim, M.D.
Medicare Care Compare: Dialysis facility
- Listed as
- DaVita Dundalk Dialysis
- Overall star rating
- ★★★☆☆ 3.0 of 5
- Ownership
- Profit
- Certified
- Mar 12, 2001
- Medicare certification status
- Active
- Chain
- DaVita
- Dialysis stations
- 12
Laboratory certificates & supplier records
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 21D0980181 | Dundalk Dialysis | Certificate of waiver | Nov 13, 2026 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MD
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20030505000012 | MD | Part a Provider - End-Stage Renal Disease Facility (ESRD) | 8426968256 | Practice locations: Dundalk, MD |
National Provider Directory
- Tax ID family
- Dva Healthcare of Maryland LLC
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| End-Stage Renal Disease (ESRD) Treatment Clinic/Center | 261QE0700X | E2616 | MD | Yes |
Addresses
Primary practice location
14 Commerce St
Dundalk, MD 21222-4307
Mailing address
5200 Virginia Way
Att: L&C Dept
Brentwood, TN 37027-7569
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 800702100 | Medicaid | MD |
Other names
- Dundalk Dialysis
Other providers in Dundalk, MD
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- Dundalk Medical Group LLC
- Dundalk Pediatric Associates, P. a.
- Courtney Nicole Dunnigan
- Brittany Ann Easter
- Edward Silverman DDS and Associates P.a.
- Lilian Ekwutife
- Hosen Elabdola
- Timia Rochelle Eleazer Harris
All providers in Dundalk, MD · End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Maryland
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 18, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.