Dva Healthcare Renal Care Inc
Organization Active NPI End-Stage Renal Disease (ESRD) Treatment Clinic/Center · North Kansas City, MO
NPI 1790746386 · NPPES record last updated Dec 29, 2025
Key facts
- NPI
- 1790746386
- Entity type
- Organization (NPI type 2)
- Primary specialty
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center 261QE0700X
- Legal business name
- DVA HEALTHCARE RENAL CARE INC
- Practice address
- 2750 Clay Edwards Dr Ste 100
North Kansas City, MO 64116-3257 - Phone
- (816) 842-2056
- Fax
- (816) 221-6091
- NPI assigned
- Mar 31, 2006
- Organization subpart
- No
Authorized official
- Name
- Samuel Wey
- Title
- VP Licensure & Certification
- Phone
- (615) 341-6641
Corporate family (same tax ID) 3
Member of 1
Affiliated clinicians 3
-
Suganthi Beeki, MD
-
Kamel Hatahet, MD
Medicare Care Compare: Dialysis facility
- Listed as
- DaVita Northland Dialysis
- Overall star rating
- ★★★☆☆ 3.0 of 5
- Ownership
- Profit
- Certified
- Jul 13, 1979
- Medicare certification status
- Active
- Chain
- DaVita
- Dialysis stations
- 21
Laboratory certificates & supplier records
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 26D0444001 | Northland Dialysis | Certificate of waiver | Aug 31, 2026 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MO
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20030421000029 | MO | Part a Provider - End-Stage Renal Disease Facility (ESRD) | 7517875545 | Practice locations: N Kansas City, MO |
National Provider Directory
- Tax ID family
- CDS of Zephyrhills
Locations
2750 Clay Edwards Dr
Ste 100
North Kansas City, MO 64116
Phone (816) 842-2056
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| End-Stage Renal Disease (ESRD) Treatment Clinic/Center | 261QE0700X | Yes |
Addresses
Primary practice location
2750 Clay Edwards Dr Ste 100
North Kansas City, MO 64116-3257
Mailing address
5200 Virginia Way
L&C Dept
Brentwood, TN 37027-7569
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 501537807 | Medicaid | MO |
Other names
- Northland Dialysis
Other providers in North Kansas City, MO
- William Joseph Duensing, Jr.
- Kenneth Paul Duncan
- Laura Catherine Dunn
- Cheryl M Duran
- Bruce W Durkee
- Alexis McKenzie Dyer
- Gregory A Eason
- John David Eatman
- Marci Ebberts
- David K. Ebelke
All providers in North Kansas City, MO · End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Missouri
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 29, 2025. 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.