Skylar Dialysis, LLC

Primary specialty

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

Legal business name

SKYLAR DIALYSIS, LLC

Practice address

1220 E Joppa Rd Ste 102
Towson, MD 21286-5811

Phone

(443) 305-7153

Fax

(443) 305-7186

NPI assigned

Aug 31, 2022

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

• Towson Home Training Doing business as

Medicare fee-for-service enrollment

Enrolled in MD

Enrollment records 1

Listed as

DaVita Towson Home TrainingCCN 212751

Ownership

Profit

Certified

Mar 24, 2023

Medicare certification status

ActiveFrom the Provider of Services file

Chain

Other

Dialysis stations

3

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
  • Napa, CA
  • NPI 1295024206

  Member Of

  NPD member

Locations

Affiliated clinicians 6

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

• Daniel Corning, MD

  • Nephrology Physician
  • Owings Mills, MD
  • NPI 1487213443

  Dialysis facility

  Care Compare affiliation Name & address match
• Sonal Navin Korgaonkar, M.D.

  • Nephrology Physician
  • Owings Mills, MD
  • NPI 1205044419

  Dialysis facility

  Care Compare affiliation Name & address match
• Shari Lewis, M.D.

  • Nephrology Physician
  • Baltimore, MD
  • NPI 1447459375

  Dialysis facility

  Care Compare affiliation Name & address match
• Manju A. Mavanur, MD

  • Nephrology Physician
  • Baltimore, MD
  • NPI 1164434932

  Dialysis facility

  Care Compare affiliation Name & address match
• Matthew R Weir, M.D.

  • Nephrology Physician
  • Baltimore, MD
  • NPI 1316985237

  Dialysis facility

  Care Compare affiliation Name & address match
• Kenneth Yim, M.D.

  • Nephrology Physician
  • Catonsville, MD
  • NPI 1386642643

  Dialysis facility

  Care Compare affiliation Name & address match

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

{
    "created_epoch": "1661904000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1788393600000",
    "number": "1821718792",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5200 VIRGINIA WAY",
            "address_2": "LICENSURE & CERTIFICATION DEPARTMENT",
            "city": "BRENTWOOD",
            "state": "TN",
            "postal_code": "370277569"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1220 E JOPPA RD STE 102",
            "city": "TOWSON",
            "state": "MD",
            "postal_code": "212865811",
            "telephone_number": "443-305-7153",
            "fax_number": "443-305-7186"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SKYLAR DIALYSIS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-08-31",
        "last_updated": "2026-09-03",
        "certification_date": "2026-09-03",
        "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": "Towson Home Training",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Towson Home Training",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Fatoumatta Bintou Sissoho, MD
• Simin Sistani, M.D.
• Kathryn Skalski, LMSW
• Skipjack Health LLC
• Geraldine K Skuhr, LCPC LCADC SAP CEAP
• Jammie Slack-McDonald
• Donald F Slack III, M.D.
• Aliciana Slagenweit
• Terry Slevin, DDS, MS
• Peter J Sloane, M.D.

• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Towson, MD
• Providers in Towson, MD by specialty
• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 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.