Belmont Dialysis LLC

Primary specialty

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

Legal business name

BELMONT DIALYSIS LLC

Doing business as

Glenvar Dialysis

Practice address

3737 W Main St Ste 103
Salem, VA 24153-2073

Phone

(540) 380-3130

Fax

(540) 380-3784

NPI assigned

Sep 13, 2016

Organization subpart

No

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

Authorized official

Name

John Winstel

Title

Chief Accounting Officer

Phone

(253) 733-4501

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Glenvar Dialysis Doing business as

Medicare fee-for-service enrollment

Enrolled in VA

Enrollment records 1

Listed as

DaVita Glenvar DialysisCCN 492709

Overall star rating

4.0 of 5

Ownership

Profit

Certified

Jun 9, 2017

Medicare certification status

ActiveFrom the Provider of Services file

Chain

DaVita

Dialysis stations

13

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.

• Renal Treatment Centers Mid Atlantic Inc

  dba Rosewood Dialysis

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Goldsboro, NC
  • NPI 1174086698

  Member Of

  NPD member

Affiliated clinicians 2

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

• Paul Frederick Laflam, M.D.

  • Nephrology Physician
  • Christiansburg, VA
  • NPI 1871522730

  Dialysis facility

  Care Compare affiliation Name & address match
• Renato M Roman, MD

  • Nephrology Physician
  • Zanesville, OH
  • NPI 1114979234

  Dialysis facility

  Care Compare affiliation Name & address match

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

{
    "created_epoch": "1473724800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1600905600000",
    "number": "1215485883",
    "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",
            "telephone_number": "615-320-4214",
            "fax_number": "866-944-3352"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3737 W MAIN ST STE 103",
            "city": "SALEM",
            "state": "VA",
            "postal_code": "241532073",
            "telephone_number": "540-380-3130",
            "fax_number": "540-380-3784"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BELMONT DIALYSIS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-09-13",
        "last_updated": "2020-09-24",
        "certification_date": "2020-09-24",
        "status": "A",
        "authorized_official_last_name": "WINSTEL",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "CHIEF ACCOUNTING OFFICER",
        "authorized_official_telephone_number": "253-733-4501"
    },
    "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": "1215485883",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Glenvar Dialysis",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Glenvar Dialysis",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Rebecca Chrisanne Bayne, FNP
• Stephanie Drewry Baynton, MSN
• Alan Beach, PH.D., LCSW, LMFT
• Luthur Beazley, M.D.
• Cooper Wall Beierle, FNP-C
• Lindsay Marie Belue, PHARMD
• Bending Reed Counseling, LLC
• Nathaniel D Bennett, PAC
• Herbert C Berding Jr., MD
• Sabrina Marie Berger, D.O.

• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Salem, VA
• Providers in Salem, 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 Sep 24, 2020; 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.