Kleaca Dialysis LLC

Primary specialty

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

Legal business name

KLEACA DIALYSIS LLC

Practice address

730 NW Gilman Blvd
Ste C110
Issaquah, WA 98027-5326

Phone

(425) 270-2083

Fax

(425) 270-2105

NPI assigned

Nov 2, 2021

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 names 1

• Issaquah Dialysis Doing business as

Medicare fee-for-service enrollment

Enrolled in WA

Enrollment records 1

Listed as

DaVita Issaquah DialysisCCN 502611

Overall star rating

3.0 of 5

Ownership

Profit

Certified

Dec 29, 2022

Medicare certification status

ActiveFrom the Provider of Services file

Chain

DaVita

Dialysis stations

5

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
  • Rockfrd, IL
  • NPI 1154997591

  Member Of

  NPD member

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Madhuri Kandala

  • Nephrology Physician
  • Bellevue, WA
  • NPI 1952494874
  NPD (past)

Affiliated clinicians 2

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

• Paris A Barkan, MD

  • Nephrology Physician
  • Seattle, WA
  • NPI 1700235694

  Dialysis facility

  Care Compare affiliation Name & address match
• Madhuri Kandala

  • Nephrology Physician
  • Bellevue, WA
  • NPI 1952494874

  Dialysis facility

  Care Compare affiliation Name & address match

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

{
    "created_epoch": "1635811200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1739836800000",
    "number": "1689339095",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5200 VIRGINIA WAY",
            "address_2": "ATTN 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": "730 NW GILMAN BLVD",
            "address_2": "STE C110",
            "city": "ISSAQUAH",
            "state": "WA",
            "postal_code": "980275326",
            "telephone_number": "425-270-2083",
            "fax_number": "425-270-2105"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KLEACA DIALYSIS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-11-02",
        "last_updated": "2025-02-18",
        "certification_date": "2025-02-18",
        "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": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Issaquah Dialysis",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Issaquah Dialysis",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Michael Kitsis, DMD
• Kathryn Corinne Kitzing, CP60324554; MC608611
• Olga Klachkovich
• Kevin Timothy Klar, LMHC
• Leah Klauer
• Denis Kleiman
• Nika Kleiman
• Kimberly Danielle Klein, KIMBERLY
• Kylie Lee Klein, MD
• Raymond Klein

• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Issaquah, WA
• Providers in Issaquah, WA by specialty
• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 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.