Dalhart Dialysis LLC

Primary specialty

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

Legal business name

DALHART DIALYSIS LLC

Doing business as

La Plata Dialysis

Practice address

6700 Crain Hwy Ste 103
La Plata, MD 20646-4950

Phone

(301) 934-2784

Fax

(301) 934-9094

NPI assigned

Jan 23, 2018

Last updated

Sep 29, 2025By the provider in NPPES

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

• La Plata Dialysis Doing business as

Medicare fee-for-service enrollment

Enrolled in MD

Enrollment records 1

Listed as

DaVita La Plata DialysisCCN 212732

Overall star rating

3.0 of 5

Ownership

Profit

Certified

Oct 31, 2018

Medicare certification status

ActiveFrom the Provider of Services file

Chain

DaVita

Dialysis stations

19

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 Grovepark Dialysis

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Jackson, GA
  • NPI 1558330522

  Member Of

  NPD member

Locations

Affiliated clinicians 3

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

• Marwa Abdalla, MBBS

  • Nephrology Physician
  • Waldorf, MD
  • NPI 1851852768

  Dialysis facility

  Care Compare affiliation Name & address match
• Utpal Kanti Dutta, MD

  • Nephrology Physician
  • Waldorf, MD
  • NPI 1649428897

  Dialysis facility

  Care Compare affiliation Name & address match
• Aditya Kadiyala, M.D.,

  • Nephrology Physician
  • White Plains, MD
  • NPI 1811131774

  Dialysis facility

  Care Compare affiliation Name & address match

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

{
    "created_epoch": "1516665600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1759104000000",
    "number": "1467950634",
    "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": "6700 CRAIN HWY STE 103",
            "city": "LA PLATA",
            "state": "MD",
            "postal_code": "206464950",
            "telephone_number": "301-934-2784",
            "fax_number": "301-934-9094"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DALHART DIALYSIS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-01-23",
        "last_updated": "2025-09-29",
        "certification_date": "2025-09-29",
        "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": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "192079100",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "La Plata Dialysis",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Brian Patrick Crowley, L. AC.
• Taylor Crudup, LGPC
• Kevin L Cummings
• Jane Cunningham, P.T.
• Virginia Lee Cusick
• Hailu Dame
• Monique Alicia Daniel, PHARMD
• Fernando Daniels III, M.D.
• Christiana Ruth Dasilva Freitas, M.S. CCC-SLP
• Bronwyn Elizabeth Daugherty, CRNA

• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in La Plata, MD
• Providers in La Plata, MD by specialty
• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 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.