Dva Renal Healthcare Inc

Primary specialty

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

Legal business name

DVA RENAL HEALTHCARE INC

Practice address

1800 Timberwood Blvd
Ste C
Charlottesville, VA 22911-7544

Phone

(434) 973-8555

Fax

(434) 973-1088

NPI assigned

May 1, 2006

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Samuel Wey

Title

VP Licensure & Certification

Phone

(615) 341-6641

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Charlottesville North Dialysis Doing business as

Medicare fee-for-service enrollment

Enrolled in VA

Enrollment records 1

Listed as

DaVita Charlottesville North DialysisCCN 492636

Overall star rating

2.0 of 5

Ownership

Profit

Certified

Jul 5, 2006

Medicare certification status

ActiveFrom the Provider of Services file

Chain

DaVita

Dialysis stations

13

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

Gambro Healthcare Anahe173 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 5

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

• Dva Renal Healthcare Inc

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Richmond, VA
  • NPI 1689638835
  NPD tax ID
• Dva Renal Healthcare Inc

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Charlottesville, VA
  • NPI 1770547036
  NPD tax ID
• Dva Renal Healthcare Inc

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Radford, VA
  • NPI 1801850870
  NPD tax ID
• Dva Renal Healthcare, Inc.

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Carrollton, VA
  • NPI 1053375030
  NPD tax ID
• Dva Renal Healthcare, Inc.

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Alexandria, VA
  • NPI 1083678320
  NPD tax ID

Affiliated clinicians 2

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

• Lakshmi Kannan, MD

  • Nephrology Physician
  • Charlottesville, VA
  • NPI 1598117368

  Dialysis facility

  Care Compare affiliation Name & address match
• Kevin R McConnell, MD

  • Nephrology Physician
  • Charlottesville, VA
  • NPI 1225018294

  Dialysis facility

  Care Compare affiliation Name & address match

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

{
    "created_epoch": "1146441600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1771200000000",
    "number": "1700844859",
    "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": "1800 TIMBERWOOD BLVD",
            "address_2": "STE C",
            "city": "CHARLOTTESVILLE",
            "state": "VA",
            "postal_code": "229117544",
            "telephone_number": "434-973-8555",
            "fax_number": "434-973-1088"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DVA RENAL HEALTHCARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-01",
        "last_updated": "2026-02-16",
        "certification_date": "2026-02-16",
        "status": "A",
        "authorized_official_last_name": "WEY",
        "authorized_official_first_name": "SAMUEL",
        "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": "010376793",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Charlottesville North Dialysis",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Charlottesville North Dialysis",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Linda R Duska, MD
• Anne Dutilh
• Lisa Beth Duval, PH.D.
• Hayden Dux
• Christen Joyce Duxbury
• Dva Renal Healthcare Inc
• Lauren Nicole Dwyer
• Meagan Dye, LPC
• Emily Lorraine Dyer, PHARMD
• Dylan J. Keener, D.M.D., M.S., P.C.

• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Charlottesville, VA
• Providers in Charlottesville, 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 Feb 16, 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.