Nansen Dialysis, LLC

Primary specialty

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

Legal business name

NANSEN DIALYSIS, LLC

Practice address

7001 W Broad St
Richmond, VA 23294-3701

Phone

(804) 755-2368

Fax

(804) 672-7612

NPI assigned

Dec 16, 2015

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

• Glenside Dialysis Doing business as

Medicare fee-for-service enrollment

Enrolled in VA

Enrollment records 1

Listed as

DaVita Glenside DialysisCCN 492701

Overall star rating

3.0 of 5

Ownership

Profit

Certified

Sep 28, 2016

Medicare certification status

ActiveFrom the Provider of Services file

Chain

DaVita

Dialysis stations

21

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 1

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

• Total Renal Care Inc

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Burlington, WA
  • NPI 1932595584

  Member Of

  NPD member

Locations

Affiliated clinicians 5

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

• Sajid Melvin George, M.D

  • Nephrology Physician
  • Richmond, VA
  • NPI 1144410507

  Dialysis facility

  Care Compare affiliation Name & address match
• Johnson Lim Gomez, M.D.

  • Nephrology Physician
  • Richmond, VA
  • NPI 1649534918

  Dialysis facility

  Care Compare affiliation Name & address match
• Phillip Matthew Hartle, M.D.

  • Nephrology Physician
  • Richmond, VA
  • NPI 1891948220

  Dialysis facility

  Care Compare affiliation Name & address match
• Srikanth Raju Kunaparaju, MD

  • Nephrology Physician
  • Richmond, VA
  • NPI 1467645333

  Dialysis facility

  Care Compare affiliation Name & address match
• Satish R Patel, M.D.

  • Nephrology Physician
  • Mechanicsville, VA
  • NPI 1952465098

  Dialysis facility

  Care Compare affiliation Name & address match

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

{
    "created_epoch": "1450224000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1754438400000",
    "number": "1194180232",
    "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": "7001 W BROAD ST",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232943701",
            "telephone_number": "804-755-2368",
            "fax_number": "804-672-7612"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NANSEN DIALYSIS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-12-16",
        "last_updated": "2025-08-06",
        "certification_date": "2025-08-06",
        "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": "1194180232",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Glenside Dialysis",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Glenside Dialysis",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Serge Patrick Nana-Sinkam, M.D.
• Elizabeth Taylor Nance, D.D.S.
• Nancy Macconnachie, PH.D., Inc.
• Abhishek Nandan, MD
• Bhavana Nangunuri, MD
• Jay L Napoleon, M.D.
• Sania Zehra Naqvi, DDS
• Omprakash Vashumal Narang, M.D.
• Gayathri Krishnaveni Naraparaju, MD
• Pratyush Narayan, MD, PHD, MS

• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Richmond, VA
• Providers in Richmond, VA by specialty
• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2025; 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.