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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

DVA HEALTHCARE OF MARYLAND LLC
NPI 1154381663
Clinic/Center - End-Stage Renal Disease (ESRD) Treatment in Baltimore, MD

Active since March 27, 2006
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: October 23, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

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

About Dva Healthcare Of Maryland Llc NPPES

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

DVA HEALTHCARE OF MARYLAND LLC (NPI 1154381663), doing business as Whitesquare Dialysis, 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 Samuel T Wey, Vp Licensure & Certification, 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
Phone(410) 687-5580
Fax(410) 687-8559
Organization SubpartNo
Authorized OfficialSamuel T WeyVp Licensure & Certification · (615) 341-6641
Enumeration DateMarch 27, 2006
Last NPPES UpdateOctober 23, 20266 updates tracked since enumeration
NPPES CertifiedOctober 23, 2026
✔ 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
Open in Google Maps ↗

Other Names 1

Doing Business AsWhitesquare Dialysis

Other Identifiers 2

Medicaid1007727620012PA
Medicaid523504900MD

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include UnitedHealthcare.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment and revalidation status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dva Healthcare Of Maryland Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by January 31, 2027

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StateMarylandEnrollment IDO20030430000040Part A · End-Stage Renal Disease Facility (ESRD)Due dateJanuary 31, 2027
Source: CMS Revalidation Due Date List, October 2026 release.

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
Phone(410) 687-5580
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.

Is DVA Healthcare Of Maryland LLC enrolled in Medicare?

Yes. DVA Healthcare Of Maryland LLC is registered in the Medicare PECOS enrollment system.

When is DVA Healthcare Of Maryland LLC's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Part A enrollment for this organization (Maryland, End-Stage Renal Disease Facility (ESRD)) is due for revalidation by January 31, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

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 October 23, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 days 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.