Active NPI
Nova Dialysis Annandale LLC
Doing business as NOVA Dialysis Canterbury
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Richmond, VA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Legal business name
- NOVA DIALYSIS ANNANDALE LLC
- Doing business as
- NOVA Dialysis Canterbury
- Practice address
- 1776 Cambridge Dr
Richmond, VA 23238-3203 - Phone
- (703) 642-0011
- NPI assigned
- Jan 18, 2024
- Organization subpart
- Yes
- Parent organization
- NOVA DIALYSIS ANNANDALE LLC
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Minessia Zarita Pearson
- Title
- Cfo
- Phone
- (301) 943-7808
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| End-Stage Renal Disease (ESRD) Treatment Clinic/Center | 261QE0700X | Primary |
Addresses
Primary practice location
1776 Cambridge Dr
Richmond, VA 23238-3203
Mailing address
9320 Annapolis Rd Ste 200
Lanham, MD 20706-3121
Phone (301) 577-1007
Other names 1
- NOVA Dialysis Canterbury
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20250117002589 | VA | Part A Provider - End-Stage Renal Disease Facility (ESRD) | 2961835194 | Practice locations: Richmond, VA |
Other NPIs with the same Medicare PAC ID 1
NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).
-
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Arlington, VA
- NPI 1083257257
2961835194
Care Compare: Dialysis facility
Medicare Care Compare- Listed as
- Nova Dialysis Canterbury
- Ownership
- Profit
- Certified
- Oct 31, 2024
- Medicare certification status
- Active
- Dialysis stations
- 9
Name & address match This facility record has no NPI; it was connected to this NPI by matching name and address.
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 49D2298551 | Nova Dialysis Canterbury | Certificate of waiver | Feb 4, 2028 |
National Provider Directory
National Provider Directory- Tax ID family
- Nova Dialysis Annandale LLC
- Part of
- Nova Dialysis Annandale LLC
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Arlington, VA
- NPI 1083257257
Ownership & related parties
Parent organization (reported in NPPES) 1
This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.
-
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Arlington, VA
- NPI 1083257257
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Nephrology Physician
- Arlington, VA
- NPI 1033130794
Affiliated clinicians 1
Clinicians who list this facility as an affiliation in Medicare Care Compare.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1705536000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1756771200000",
"number": "1346001153",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9320 ANNAPOLIS RD STE 200",
"city": "LANHAM",
"state": "MD",
"postal_code": "207063121",
"telephone_number": "301-577-1007"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1776 CAMBRIDGE DR",
"city": "RICHMOND",
"state": "VA",
"postal_code": "232383203",
"telephone_number": "703-642-0011"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NOVA DIALYSIS ANNANDALE LLC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "NOVA DIALYSIS ANNANDALE LLC",
"enumeration_date": "2024-01-18",
"last_updated": "2025-09-02",
"certification_date": "2024-07-30",
"status": "A",
"authorized_official_last_name": "PEARSON",
"authorized_official_first_name": "MINESSIA",
"authorized_official_middle_name": "ZARITA",
"authorized_official_title_or_position": "CFO",
"authorized_official_telephone_number": "301-943-7808"
},
"taxonomies": [
{
"code": "261QE0700X",
"taxonomy_group": "",
"desc": "Clinic/Center, End-Stage Renal Disease (ESRD) Treatment",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "NOVA Dialysis Canterbury",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Richmond, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 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.