Organization Active NPI

Creek Dialysis LLC

Doing business as Calverton Dialysis

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Beltsville, MD
National Provider Identifier
1447495916
Registry record updated Feb 10, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
End-Stage Renal Disease (ESRD) Treatment Clinic/CenterTaxonomy code 261QE0700X
License
E2663 Issued in MD
Legal business name
CREEK DIALYSIS LLC
Doing business as
Calverton Dialysis
Practice address
4780 Corridor PL
Ste C
Beltsville, MD 20705-1165
Phone
(301) 595-0231
Fax
(301) 595-3439
NPI assigned
Dec 11, 2008
Last updated
Feb 10, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 10, 2026

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

Specialty (taxonomy)CodeLicenseStatePrimary
End-Stage Renal Disease (ESRD) Treatment Clinic/Center 261QE0700X E2663 MD Primary

Addresses

Primary practice location

4780 Corridor PL
Ste C
Beltsville, MD 20705-1165

Mailing address

5200 Virginia Way
Att: L&C Dept
Brentwood, TN 37027-7569

Other identifiers 1

IdentifierTypeStateIssuer
4325028 00MedicaidMD

Other names 1

  • Calverton Dialysis Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090504000606 MD Part A Provider - End-Stage Renal Disease Facility (ESRD) 7810045655 Practice locations: Beltsville, MD

Care Compare: Dialysis facility

Medicare Care Compare
Listed as
DaVita Calverton DialysisCCN 212663
Overall star rating
5.0 of 5
Ownership
Profit
Certified
Feb 5, 2010
Medicare certification status
ActiveFrom the Provider of Services file
Chain
DaVita
Dialysis stations
12

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 NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
21D1103466Calverton Dialysis4780 Corridor PL Ste C, Beltsville, MD 20705Certificate of waiverAug 10, 2027

National Provider Directory

National Provider Directory

Member of 1

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

Locations

4780 Corridor Pl
Ste C
Beltsville, MD 20705
Phone (301) 595-0231

Practitioners & affiliated clinicians

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": "1228953600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1770681600000",
    "number": "1447495916",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5200 VIRGINIA WAY",
            "address_2": "ATT: 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": "4780 CORRIDOR PL",
            "address_2": "STE C",
            "city": "BELTSVILLE",
            "state": "MD",
            "postal_code": "207051165",
            "telephone_number": "301-595-0231",
            "fax_number": "301-595-3439"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CREEK DIALYSIS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-12-11",
        "last_updated": "2026-02-10",
        "certification_date": "2026-02-10",
        "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": "MD",
            "license": "E2663",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4325028 00",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Calverton Dialysis",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Calverton Dialysis",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Beltsville, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2026; 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.