Dva Renal Healthcare Inc

Primary specialty

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

License

0329DC Issued in OH

Legal business name

DVA RENAL HEALTHCARE INC

Doing business as

Marietta Dialysis

Practice address

1019 Pike St
Marietta, OH 45750-3500

Phone

(740) 376-2622

Fax

(740) 376-2633

NPI assigned

Apr 13, 2006

Organization subpart

No

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

Authorized official

Name

Samuel T Wey

Title

VP Licensure & Certification

Phone

(615) 341-6641

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Marietta Dialysis Doing business as

Medicare fee-for-service enrollment

Enrolled in OH

Enrollment records 1

Listed as

DaVita Marietta DialysisCCN 362563

Overall star rating

3.0 of 5

Ownership

Profit

Certified

Aug 12, 1996

Medicare certification status

ActiveFrom the Provider of Services file

Chain

DaVita

Dialysis stations

12

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

CLIA laboratory certificates

Tax ID family

Gambro Healthcare Anahe173 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 4

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

• Dva Renal Healthcare Inc

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Zanesville, OH
  • NPI 1033173133
  NPD tax ID
• Dva Renal Healthcare, Inc

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Alliance, OH
  • NPI 1629032941
  NPD tax ID
• Ohio River Dialysis LLC

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Cincinnati, OH
  • NPI 1598784506
  NPD tax ID
• Ohio River Dialysis LLC

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Silverton, OH
  • NPI 1952365108
  NPD tax ID

Locations

Affiliated clinicians 3

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

• Mahyar Tahbaz, DO

  • Nephrology Physician
  • Marietta, OH
  • NPI 1770583031

  Dialysis facility

  Care Compare affiliation Name & address match
• Mirza T Hamirani, M.D.

  • Nephrology Physician
  • Vienna, WV
  • NPI 1861460099

  Dialysis facility

  Care Compare affiliation Name & address match
• Neeharika Muddana, M.D.

  • Nephrology Physician
  • Parkersburg, WV
  • NPI 1649448911

  Dialysis facility

  Care Compare affiliation Name & address match

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

{
    "created_epoch": "1144886400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1755648000000",
    "number": "1427012798",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5200 VIRGINIA WAY",
            "address_2": "L&C DEPT",
            "city": "BRENTWOOD",
            "state": "TN",
            "postal_code": "370277569"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1019 PIKE ST",
            "city": "MARIETTA",
            "state": "OH",
            "postal_code": "457503500",
            "telephone_number": "740-376-2622",
            "fax_number": "740-376-2633"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DVA RENAL HEALTHCARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-13",
        "last_updated": "2025-08-20",
        "certification_date": "2025-08-20",
        "status": "A",
        "authorized_official_last_name": "WEY",
        "authorized_official_first_name": "SAMUEL",
        "authorized_official_middle_name": "T",
        "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": "OH",
            "license": "0329DC",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2220180",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Marietta Dialysis",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Marietta Dialysis",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Steven R Downer, DPM
• Vidas Dumasius, MD
• Angelica Lynn Dunham
• Jacob Dunstan
• Vanessa Dunwoody, PT
• Harsh Dwivedi, PHARMD
• Caitlin Jo Dyar, RN
• Cassie Dye
• Abbie J. Eagan, CRNA
• Katelyn Earley, DPT

• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Marietta, OH
• Providers in Marietta, OH by specialty
• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 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.