Sparda Dialysis LLC

Primary specialty

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

Legal business name

SPARDA DIALYSIS LLC

Practice address

40 Walters PL
House Springs, MO 63051-1491

Phone

(636) 375-5270

Fax

(636) 375-5302

NPI assigned

Feb 26, 2018

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

• House Springs Dialysis Doing business as

Medicare fee-for-service enrollment

Enrolled in MO

Enrollment records 1

Listed as

DaVita House Springs DialysisCCN 262693

Overall star rating

3.0 of 5

Ownership

Profit

Certified

Sep 5, 2018

Medicare certification status

ActiveFrom the Provider of Services file

Chain

DaVita

Dialysis stations

20

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 2

Organizations this organization is a member of, according to the National Provider Directory.

• Dva Healthcare Renal Care Inc

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Pearsall, TX
  • NPI 1194789859

  Member Of

  NPD member
• Isd Renal Inc

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Canton, OH
  • NPI 1629596267

  Member Of

  NPD member

Locations

Affiliated clinicians 3

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

• Alexis Chris Argoudelis, M.D.

  • Nephrology Physician
  • Saint Louis, MO
  • NPI 1639270002

  Dialysis facility

  Care Compare affiliation Name & address match
• Margaret Meier, M.D.

  • Nephrology Physician
  • Saint Louis, MO
  • NPI 1659723963

  Dialysis facility

  Care Compare affiliation Name & address match
• Maisa A Nazzal, M.D.

  • Nephrology Physician
  • Saint Louis, MO
  • NPI 1295991073

  Dialysis facility

  Care Compare affiliation Name & address match

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

{
    "created_epoch": "1519603200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1754524800000",
    "number": "1851892731",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5200 VIRGINIA WAY",
            "address_2": "L & C DEPARTMENT",
            "city": "BRENTWOOD",
            "state": "TN",
            "postal_code": "370277569"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40 WALTERS PL",
            "city": "HOUSE SPRINGS",
            "state": "MO",
            "postal_code": "630511491",
            "telephone_number": "636-375-5270",
            "fax_number": "636-375-5302"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPARDA DIALYSIS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-02-26",
        "last_updated": "2025-08-07",
        "certification_date": "2025-08-07",
        "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": "500060485",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "House Springs Dialysis",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Ryan W. Klohr, DMD, LLC
• Kristi Scanlon, M.S. CCC-SLP
• Susan Mary Self-Portwine, LCSW
• Kurtis Shoemake, MS, CCC-SLP
• Simply Pediatrics
• Natasha Sullivan, I.B.C.L.C.
• Nathan Walter Suter, DDS
• Avery Vaughn
• Keith Vessell, LCSW
• Morgan Leigh Von Seelen, OTR/L, MOT

• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in House Springs, MO
• Providers in House Springs, MO by specialty
• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 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.