WHITESQUARE DIALYSIS
NPI 1154381663
Clinic/Center - End-Stage Renal Disease (ESRD) Treatment in Baltimore, MD

Active since March 27, 2006CLIA 21D0944150 · Waiver
2/5
Overall Rating
1 NASHUA CT, STE E, BALTIMORE, MD 21221(410) 687-5580(410) 687-8559 Get Directions Write a Review

NPPES record last updated: December 5, 2022. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Dec 5, 2022, Dec 6, 2021, Dec 3, 2020 and 3 more (6 updates tracked since 2017).

About Whitesquare Dialysis NPPES

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

WHITESQUARE DIALYSIS (NPI 1154381663) 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 holds a CLIA Waiver certificate valid through April 7, 2028 and lists John D Winstel, Chief Accounting Officer, as its authorized official.

NPPES Registry Identity

NPI1154381663
Entity TypeOrganization
Primary Taxonomy261QE0700X
Legal Business NameDVA HEALTHCARE OF MARYLAND LLC
Location Address1 NASHUA CT, STE EBaltimore, MD 21221-3131
Mailing Address5200 Virginia Way, L & C DepartmentBrentwood, TN 37027-7569 · (615) 320-4214 · Fax (866) 944-3352
Fax(410) 687-8559
Organization SubpartNo
Authorized OfficialJohn D WinstelChief Accounting Officer · (253) 733-4501
Enumeration DateMarch 27, 2006
Last NPPES UpdateDecember 5, 20226 updates tracked since enumeration
NPPES CertifiedDecember 5, 2022
NPI 1154381663 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 · E2523
1 NASHUA CT, Baltimore, MD 21221

Other Names 1

Doing Business AsWhitesquare Dialysis

Other Identifiers 2

Medicaid1007727620012PA
Medicaid523504900MD

Accepted Insurance

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 21D0944150

Whitesquare Dialysis · Baltimore, MD
Active · expires Apr 7, 2028
CLIA Number21D0944150
Laboratory TypeEnd Stage Renal Disease Dialysis Facility
Certificate Effective DateApril 8, 2026
Certificate Expiration DateApril 7, 2028
Laboratory DirectorShahab A. Khan MD
Laboratory Phone(410) 687-5580
Laboratory LocationWhitesquare Dialysis1 Nashua Court Ste E, Baltimore, MD 21221
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Dialysis Facility Quality Ratings CMS Care Compare

Quality ratings, services and patient survey results for DaVita Whitesquare Dialysis (CMS certification number 212523), from CMS Care Compare.

DaVita Whitesquare Dialysis

Dialysis facility · Baltimore, MD
2/5 CMS RatingRating period January 2020 to December 2023
OwnershipProfit
ChainDaVita
CMS Certification Number212523
ESRD NetworkNetwork 5
Hemodialysis Stations18
Medicare-Certified SinceDecember 1, 1986
Location1 NASHUA CT STE EBaltimore, MD 21221 · Baltimore County
Services Offered
In-center hemodialysis Peritoneal dialysis

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 1154381663. It was assigned to this organization in the NPPES registry on March 27, 2006. The provider is doing business as Whitesquare Dialysis.

Where is DVA Healthcare Of Maryland LLC located?

DVA Healthcare Of Maryland LLC is located at 1 Nashua Ct Ste E, Baltimore, MD 21221. The listed phone number is (410) 687-5580.

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.

Does DVA Healthcare Of Maryland LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 21D0944150) is associated with this NPI, valid through April 7, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

Is DVA Healthcare Of Maryland LLC a Medicare-certified dialysis facility?

Yes. DaVita Whitesquare Dialysis is a Medicare-certified dialysis facility, certified since December 1, 1986.

What quality rating does DVA Healthcare Of Maryland LLC have?

CMS rates DaVita Whitesquare Dialysis 2 out of 5 stars on Care Compare. The full measure detail is in the Dialysis Facility Quality section above.

What insurance does DVA Healthcare Of Maryland LLC accept?

Health plans from UnitedHealthcare list DVA Healthcare Of Maryland LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for DVA Healthcare Of Maryland LLC was last updated on December 5, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.