Physicians Dialysis of Lancaster LLC
Organization Active NPI End-Stage Renal Disease (ESRD) Treatment Clinic/Center · Stevens, PA
NPI 1508828302 · NPPES record last updated Jan 23, 2026
Key facts
- NPI
- 1508828302
- Entity type
- Organization (NPI type 2)
- Primary specialty
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center 261QE0700X
- Legal business name
- PHYSICIANS DIALYSIS OF LANCASTER LLC
- Practice address
- 63 W Church St
Suite 67
Stevens, PA 17578-9203 - Phone
- (717) 335-7399
- Fax
- (717) 335-0488
- NPI assigned
- Apr 5, 2006
- Organization subpart
- No
Authorized official
- Name
- Samuel T Wey
- Title
- VP Licensure & Certification
- Phone
- (615) 341-6641
Other NPIs with the same Medicare PAC ID 5
Corporate family (same tax ID) 5
Affiliated clinicians 4
-
Doreen W Bett, D.O.
-
Jeffrey L Martin, MD
-
Rajiv Sharma, MD
Medicare Care Compare: Dialysis facility
- Listed as
- DaVita PDI - Ephrata
- Overall star rating
- ★★★★☆ 4.0 of 5
- Ownership
- Profit
- Certified
- Jul 2, 2003
- Medicare certification status
- Active
- Chain
- DaVita
- Dialysis stations
- 16
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in PA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20030221000031 | PA | Part a Provider - End-Stage Renal Disease Facility (ESRD) | 5193634608 | Practice locations: Stevens, PA |
National Provider Directory
- Tax ID family
- Physicians Dialysis of Lancaster LLC
Locations
63 W Church St
Ste 67
Stevens, PA 17578
Phone (717) 335-7399
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| End-Stage Renal Disease (ESRD) Treatment Clinic/Center | 261QE0700X | Yes |
Addresses
Primary practice location
63 W Church St
Suite 67
Stevens, PA 17578-9203
Mailing address
5200 Virginia Way
L&C Dept
Brentwood, TN 37027-7569
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1007375490004 | Medicaid | PA |
Other names
- PDI Ephrata
Other providers in Stevens, PA
- Allison Dawn McCracken
- Jamie Monaco
- Northern Lancaster County Medical Group
- Veronica Patrick
- Celeste Pedersen
- Karen Lee Pinchot
- Reliant Denver Holdings LLC
- Jessica Rogers
- Abigail Rutter
- Derek James Sauder
All providers in Stevens, PA · End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Pennsylvania
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 23, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.