Legacy Dialysis of Reston Clinic

Primary specialty

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

Legal business name

LEGACY DIALYSIS OF RESTON CLINIC

Practice address

1800 Alexander Bell Dr Ste 160
Reston, VA 20191-5488

Phone

(954) 781-7741

Fax

(888) 349-8679

NPI assigned

Feb 3, 2023

Organization subpart

No

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

Authorized official

Name

Marcia Anjos Santos

Title

Coo

Phone

(954) 781-7741

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in VA

Enrollment records 1

Listed as

Legacy Dialysis of RestonCCN 492746

Overall star rating

1.0 of 5

Ownership

Profit

Certified

Jul 26, 2023

Medicare certification status

ActiveFrom the Provider of Services file

Dialysis stations

16

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

CLIA laboratory certificates

Locations

Affiliated clinicians 1

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

• Neeraja Tandra, MD

  • Nephrology Physician
  • Reston, VA
  • NPI 1821201385

  Dialysis facility

  Care Compare affiliation Name & address match

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

{
    "created_epoch": "1675382400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1745193600000",
    "number": "1316643067",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "50 E SAMPLE RD STE 301",
            "city": "POMPANO BEACH",
            "state": "FL",
            "postal_code": "330643552",
            "telephone_number": "954-781-7741"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1800 ALEXANDER BELL DR STE 160",
            "city": "RESTON",
            "state": "VA",
            "postal_code": "201915488",
            "telephone_number": "954-781-7741",
            "fax_number": "888-349-8679"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEGACY DIALYSIS OF RESTON CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-02-03",
        "last_updated": "2025-04-21",
        "certification_date": "2025-04-21",
        "status": "A",
        "authorized_official_last_name": "SANTOS",
        "authorized_official_first_name": "MARCIA",
        "authorized_official_middle_name": "ANJOS",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "954-781-7741"
    },
    "taxonomies": [
        {
            "code": "261QE0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, End-Stage Renal Disease (ESRD) Treatment",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Junsoo Alexander Lee, MD
• Paula Renee Lee, L.AC.
• Seon H Lee, MD
• Seungjae Lee
• Siew Mei Lee, M.D.
• Legacy Dialysis of Reston LLC
• Daniel Lehnert, PT, DPT
• Karen A Lensing, ATC
• Gemma Leonard, DPT
• Kyler Leonard, FNP-C

• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Reston, VA
• Providers in Reston, 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 Apr 21, 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.