Dva Healthcare Renal Care Inc

Primary specialty

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

Legal business name

DVA HEALTHCARE RENAL CARE INC

Doing business as

Lenexa Dialysis

Practice address

8630 Halsey St
Lenexa, KS 66215-2880

Phone

(913) 894-1100

Fax

(913) 894-6915

NPI assigned

Mar 21, 2006

Last updated

Jul 22, 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 2

Other names 1

• Lenexa Dialysis Doing business as

Medicare fee-for-service enrollment

Enrolled in KS

Enrollment records 1

Listed as

DaVita Lenexa DialysisCCN 172509

Overall star rating

3.0 of 5

Ownership

Profit

Certified

Mar 11, 1988

Medicare certification status

ActiveFrom the Provider of Services file

Chain

DaVita

Dialysis stations

16

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

Community Dialysis Services194 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 1

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

• Dva Healthcare Renal Care Inc

  dba Wyandotte West Dialysis

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Kansas City, KS
  • NPI 1902865876
  NPD tax ID

Member of 1

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

• Dva Renal Healthcare Inc

  dba Florissant Dialysis

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Saint Louis, MO
  • NPI 1740241454

  Member Of

  NPD member

Affiliated clinicians 3

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

• Achal K Desai, M.D.

  • Nephrology Physician
  • Shawnee, KS
  • NPI 1134123185

  Dialysis facility

  Care Compare affiliation Name & address match
• Prameela Banoth, M.D

  • Nephrology Physician
  • Kansas City, MO
  • NPI 1720395171

  Dialysis facility

  Care Compare affiliation Name & address match
• Suleiman Daifallah, M.D.

  • Nephrology Physician
  • North Kansas City, MO
  • NPI 1982897682

  Dialysis facility

  Care Compare affiliation Name & address match

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

{
    "created_epoch": "1142899200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1753142400000",
    "number": "1679532402",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5200 VIRGINIA WAY",
            "address_2": "L&C DEPARTMENT",
            "city": "BRENTWOOD",
            "state": "TN",
            "postal_code": "370277569"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8630 HALSEY ST",
            "city": "LENEXA",
            "state": "KS",
            "postal_code": "662152880",
            "telephone_number": "913-894-1100",
            "fax_number": "913-894-6915"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DVA HEALTHCARE RENAL CARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-21",
        "last_updated": "2025-07-22",
        "certification_date": "2025-07-22",
        "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": "100213850M",
            "state": "KS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "507480101",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lenexa Dialysis",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Lenexa Dialysis",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Teresa Lynn Dunagan, OTR
• Megan Dunn, RDN
• Ryan Patrick Dupree, LAC
• Janet Dusabe
• Stacey Dutro, LMSW
• David S. Dyer, M.D.
• Jessica Eagle, NBC-HWC
• Maegan Nicole Easter, PHARM.D.
• Jessica K. Edwards-Perrin
• Douglas Wayne Edwards, ATC

• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Lenexa, KS
• Providers in Lenexa, KS by specialty
• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 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.