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25TH STREET DIALYSIS
NPI 1023077328
Clinic/Center - End-Stage Renal Disease (ESRD) Treatment in Baltimore, MD

Active since March 23, 2006
920 E 25TH ST, BALTIMORE, MD 21218(410) 235-1611(410) 235-3721 Get Directions Write a Review

NPPES record last updated: December 6, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Dec 6, 2021, Apr 29, 2021, May 24, 2019 and 1 more (4 updates tracked since 2017).

About 25th Street Dialysis NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

25TH STREET DIALYSIS (NPI 1023077328) is a healthcare organization registered as an end-stage renal disease (esrd) treatment in Baltimore, Maryland and active in the NPI registry since March 2006. The organization lists John Winstel, Chief Accounting Officer, as its authorized official.

NPPES Registry Identity

NPI1023077328
Entity TypeOrganization
Primary Taxonomy261QE0700X
Legal Business NameDVA HEALTHCARE OF MARYLAND LLC
Location Address920 E 25TH STBaltimore, MD 21218-5503
Mailing Address5200 Virginia Way, L&c DeptBrentwood, TN 37027-7569 · (615) 320-4214 · Fax (866) 944-3352
Phone(410) 235-1611
Fax(410) 235-3721
Organization SubpartNo
Authorized OfficialJohn WinstelChief Accounting Officer · (253) 733-4501
Enumeration DateMarch 23, 2006
Last NPPES UpdateDecember 6, 20214 updates tracked since enumeration
NPPES CertifiedDecember 6, 2021
✔ NPI 1023077328 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · End-Stage Renal Disease (ESRD) TreatmentAmbulatory Health Care Facilities
Taxonomy Code261QE0700X
License✔ Licensed in MD · E2595
920 E 25TH ST, Baltimore, MD 21218
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Other Names 1

Doing Business As25th Street Dialysis

Other Identifiers 2

Medicaid326000300MD
Medicaid1007727620014PA

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

KINGS HEART RECOVERY AND WELLNESS LLC
Community/Behavioral Health
920 E 25TH ST
BALTIMORE, MD 21218
Baltimore City (443) 793-8485

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is DVA Healthcare Of Maryland LLC's NPI number?

The NPI number for DVA Healthcare Of Maryland LLC is 1023077328. It was assigned to this organization in the NPPES registry on March 23, 2006. The provider is doing business as 25th Street Dialysis.

Where is DVA Healthcare Of Maryland LLC located?

DVA Healthcare Of Maryland LLC is located at 920 E 25th St, Baltimore, MD 21218. The listed phone number is (410) 235-1611.

What is DVA Healthcare Of Maryland LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in End-Stage Renal Disease (ESRD) Treatment, with taxonomy code 261QE0700X.

When was this NPI record last updated?

The NPPES record for DVA Healthcare Of Maryland LLC was last updated on December 6, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.