Kasaskia Dialysis LLC

Primary specialty

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

Legal business name

KASASKIA DIALYSIS LLC

Practice address

18001 E 10 Mile Rd Ste B
Roseville, MI 48066-3803

Phone

(586) 771-2286

Fax

(586) 771-2581

NPI assigned

Mar 16, 2018

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 1

Other names 1

• Roseville Commons DIalysis Doing business as

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Listed as

DaVita Roseville Commons DialysisCCN 232736

Overall star rating

2.0 of 5

Ownership

Profit

Certified

Feb 20, 2019

Medicare certification status

ActiveFrom the Provider of Services file

Chain

DaVita

Dialysis stations

24

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

Affiliated clinicians 4

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

• Heather Lynn Henderson, DO

  • Nephrology Physician
  • Roseville, MI
  • NPI 1144484924

  Dialysis facility

  Care Compare affiliation Name & address match
• Mindy Raminick, D.O.

  • Nephrology Physician
  • Sterling Heights, MI
  • NPI 1306292438

  Dialysis facility

  Care Compare affiliation Name & address match
• Joel M Topf, MD

  • Nephrology Physician
  • Roseville, MI
  • NPI 1972505519

  Dialysis facility

  Care Compare affiliation Name & address match
• Reem Raad Asteefan Yusufani, M.D.

  • Nephrology Physician
  • Ann Arbor, MI
  • NPI 1083068902

  Dialysis facility

  Care Compare affiliation Name & address match

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

{
    "created_epoch": "1521158400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757980800000",
    "number": "1801399753",
    "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": "18001 E 10 MILE RD STE B",
            "city": "ROSEVILLE",
            "state": "MI",
            "postal_code": "480663803",
            "telephone_number": "586-771-2286",
            "fax_number": "586-771-2581"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KASASKIA DIALYSIS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-03-16",
        "last_updated": "2025-09-16",
        "certification_date": "2025-09-16",
        "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": "1801399753",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Roseville Commons DIalysis",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Clara Kamath-Wood, MD
• Norbert J Kaminski Jr., D.D.S.
• Nicole Kanneth, MACP
• Melinda Elizabeth Karam, M.D.
• Raniah Kareem
• Wojciech D Kasprowicz, PT
• Joseph Kassa, D.O.
• Christine Keller, M.A., L.L.P.
• Kelly Otp LLC
• Kelly Road Dentistry PLLC

• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Roseville, MI
• Providers in Roseville, MI by specialty
• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 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.