Dva Renal Healthcare, Inc

Primary specialty

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

License

ESRD004 Issued in NE

Legal business name

DVA RENAL HEALTHCARE, INC

Practice address

1949 E 23Rd Ave S
Fremont, NE 68025-2452

Phone

(402) 721-7005

Fax

(402) 721-7480

NPI assigned

Apr 3, 2006

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

• Dodge County Dialysis Doing business as

Medicare fee-for-service enrollment

Enrolled in NE

Enrollment records 1

Listed as

DaVita Dodge County DialysisCCN 282512

Overall star rating

2.0 of 5

Ownership

Profit

Certified

Mar 3, 1999

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

Tax ID family

Gambro Healthcare Anahe173 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 4

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

• Dva Renal Healthcare Inc

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Bellevue, NE
  • NPI 1154383529
  NPD tax ID
• Dva Renal Healthcare Inc

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Omaha, NE
  • NPI 1699737049
  NPD tax ID
• Dva Renal Healthcare Inc

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Omaha, NE
  • NPI 1750343109
  NPD tax ID
• Dva Renal Healthcare Inc

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Omaha, NE
  • NPI 1902868367
  NPD tax ID

Affiliated clinicians 4

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

• Stefan Ceru Hemmings, M.B., B.S.

  • Nephrology Physician
  • Omaha, NE
  • NPI 1760820575

  Dialysis facility

  Care Compare affiliation Name & address match
• Bryce H Lund, M.D.

  • Nephrology Physician
  • Fremont, NE
  • NPI 1992924443

  Dialysis facility

  Care Compare affiliation Name & address match
• Richard J Lund, M.D.

  • Nephrology Physician
  • Omaha, NE
  • NPI 1609969468

  Dialysis facility

  Care Compare affiliation Name & address match
• David Allen McMillan, DO

  • Nephrology Physician
  • Omaha, NE
  • NPI 1053931980

  Dialysis facility

  Care Compare affiliation Name & address match

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

{
    "created_epoch": "1144022400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1741564800000",
    "number": "1962464388",
    "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": "1949 E 23RD AVE S",
            "city": "FREMONT",
            "state": "NE",
            "postal_code": "680252452",
            "telephone_number": "402-721-7005",
            "fax_number": "402-721-7480"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DVA RENAL HEALTHCARE, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-03",
        "last_updated": "2025-03-10",
        "certification_date": "2025-03-10",
        "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": "NE",
            "license": "ESRD004",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0546689",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dodge County Dialysis",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Dodge County Dialysis",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kate Zajicek Duncan, D.C.
• Maureen Elizabeth Michelle Duncan
• Dorian Dunham, PLADC
• Carol Dunklau
• Natalie Dunn, DPT
• Jena Earl
• Eastern Nebraska Human Services Agency
• Caylin Brooke Eastridge
• Kayla Ann Eberhardt
• Mackenzie Edgar

• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Fremont, NE
• Providers in Fremont, NE by specialty
• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 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.