Chaffee Dialysis LLC

Primary specialty

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

Legal business name

CHAFFEE DIALYSIS LLC

Doing business as

Phalen Dialysis

Practice address

862 Arcade St
Saint Paul, MN 55106

Phone

(651) 776-0466

Fax

(651) 776-7838

NPI assigned

Jul 11, 2018

Last updated

Jul 17, 2025By the provider in NPPES

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

• Phalen Dialysis Doing business as

Medicare fee-for-service enrollment

Enrolled in MN

Enrollment records 1

Listed as

DaVita Phalen DialysisCCN 242701

Overall star rating

3.0 of 5

Ownership

Profit

Certified

Feb 22, 2019

Medicare certification status

ActiveFrom the Provider of Services file

Chain

DaVita

Dialysis stations

12

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

  dba Cerritos Dialysis

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Cerritos, CA
  • NPI 1255681011

  Member Of

  NPD member

Locations

Affiliated clinicians 2

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

• Andrew Emil Kummer, M.D.

  • Nephrology Physician
  • Saint Paul, MN
  • NPI 1205098464

  Dialysis facility

  Care Compare affiliation Name & address match
• Nyan Pyae, M.D.

  • Nephrology Physician
  • Maplewood, MN
  • NPI 1992033922

  Dialysis facility

  Care Compare affiliation Name & address match

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

{
    "created_epoch": "1531267200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1752710400000",
    "number": "1902392111",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5200 VIRGINIA WAY",
            "city": "BRENTWOOD",
            "state": "TN",
            "postal_code": "370277569"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "862 ARCADE ST",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "55106",
            "telephone_number": "651-776-0466",
            "fax_number": "651-776-7838"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHAFFEE DIALYSIS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-07-11",
        "last_updated": "2025-07-17",
        "certification_date": "2025-07-17",
        "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": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1902392111",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Phalen Dialysis",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Phalen Dialysis",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Antoine Heni Chaanine, MD
• Jato Ambo Chabsi
• Sudha M Chadalawada, MD
• Anjali Chadwick
• James Edwin Chadwick, MSW, LICSW
• Pattaraphongpan Chaiyamart
• Veasna Marcus Chak, RPH
• Amar Nath Chakraborty, BHSC, MD
• Chalet Dental Care
• Jennifer Challes

• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Saint Paul, MN
• Providers in Saint Paul, MN by specialty
• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 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.