Ridgely Dialysis LLC

Primary specialty

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

Legal business name

RIDGELY DIALYSIS LLC

Practice address

445 Oriana Rd
Ste 18
Newport News, VA 23608-3742

Phone

(757) 898-9212

Fax

(757) 898-9216

NPI assigned

Jun 15, 2016

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

• Port Warwick Dialysis Doing business as

Medicare fee-for-service enrollment

Enrolled in VA

Enrollment records 1

Listed as

DaVita Port Warwick DialysisCCN 492706

Overall star rating

3.0 of 5

Ownership

Profit

Certified

Feb 6, 2017

Medicare certification status

ActiveFrom the Provider of Services file

Chain

DaVita

Dialysis stations

17

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.

• Total Renal Care Inc

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Burlington, WA
  • NPI 1932595584

  Member Of

  NPD member

Locations

Affiliated clinicians 2

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

• Hoang-Hai Ngoc Nguyen, MD

  • Nephrology Physician
  • Hampton, VA
  • NPI 1487862082

  Dialysis facility

  Care Compare affiliation Name & address match
• Merfake Semret, M.D.

  • Nephrology Physician
  • Rochester, MN
  • NPI 1700093176

  Dialysis facility

  Care Compare affiliation Name & address match

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

{
    "created_epoch": "1465948800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1769558400000",
    "number": "1497105076",
    "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": "445 ORIANA RD",
            "address_2": "STE 18",
            "city": "NEWPORT NEWS",
            "state": "VA",
            "postal_code": "236083742",
            "telephone_number": "757-898-9212",
            "fax_number": "757-898-9216"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RIDGELY DIALYSIS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-06-15",
        "last_updated": "2026-01-28",
        "certification_date": "2026-01-28",
        "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": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1497105076",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Port Warwick Dialysis",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Port Warwick Dialysis",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Tylen M Riddick
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• Maricel Lilian Ridella, MD
• Robert Riedmiller, RPRS
• Megan Redalen Riegel, OTR/L
• Joshua Rieke, CRNA
• Christine Riese
• Felipe A Rigau, M.D.

• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Newport News, VA
• Providers in Newport News, 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 Jan 28, 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.