ROMULUS DIALYSIS
NPI 1467414706
Clinic/Center - End-Stage Renal Disease (ESRD) Treatment in Romulus, MI

Active since April 03, 2006CLIA 23D0997880 · Waiver
1/5
Overall Rating
31470 ECORSE RD, ROMULUS, MI 48174(734) 722-5455(734) 722-5682 Get Directions Write a Review

NPPES record last updated: April 11, 2024. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Apr 11, 2024, Jan 31, 2022, Dec 10, 2020 and 1 more (4 updates tracked since 2019).

About Romulus Dialysis NPPES

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

ROMULUS DIALYSIS (NPI 1467414706) is a healthcare organization registered as an end-stage renal disease (esrd) treatment in Romulus, Michigan and active in the NPI registry since April 2006. The organization holds a CLIA Waiver certificate valid through March 28, 2028 and lists Samuel T Wey, Vp Licensure & Certification, as its authorized official.

NPPES Registry Identity

NPI1467414706
Entity TypeOrganization
Primary Taxonomy261QE0700X
Legal Business NameDVA RENAL HEALTHCARE INC
Location Address31470 ECORSE RDRomulus, MI 48174-1963
Mailing Address5200 Virginia Way, L&c DeptBrentwood, TN 37027-7569
Fax(734) 722-5682
Organization SubpartNo
Authorized OfficialSamuel T WeyVp Licensure & Certification · (615) 341-6641
Enumeration DateApril 3, 2006
Last NPPES UpdateApril 11, 20244 updates tracked since enumeration
NPPES CertifiedApril 11, 2024
NPI 1467414706 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
31470 ECORSE RD, Romulus, MI 48174

Other Names 1

Doing Business AsRomulus Dialysis

Other Identifiers 1

Medicaid4412100MI

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 23D0997880

Romulus Dialysis · Romulus, MI
Active · expires Mar 28, 2028
CLIA Number23D0997880
Laboratory TypeEnd Stage Renal Disease Dialysis Facility
Certificate Effective DateMarch 29, 2026
Certificate Expiration DateMarch 28, 2028
Laboratory DirectorAnand Hiremath
Laboratory Phone(734) 722-5455
Laboratory LocationRomulus Dialysis31470 Ecorse Road, Romulus, MI 48174
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 Romulus Dialysis (CMS certification number 232596), from CMS Care Compare.

DaVita Romulus Dialysis

Dialysis facility · Romulus, MI
1/5 CMS RatingRating period January 2020 to December 2023
OwnershipProfit
ChainDaVita
CMS Certification Number232596
ESRD NetworkNetwork 11
Hemodialysis Stations12
Medicare-Certified SinceJune 6, 2002
Location31470 ECORSE RDRomulus, MI 48174 · Wayne County
Services Offered
In-center hemodialysis

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1467414706, enumerated as an "organization" on April 03, 2006.

The provider is located at 31470 ECORSE RD ROMULUS, MI 48174 and the phone number is (734) 722-5455.

Clinic/Center with taxonomy code 261QE0700X and a focus in End-Stage Renal Disease (ESRD) Treatment.

The provider might be accepting Accepts: Ambetter from Buckeye Health Plan, Ambetter from. Please consult your insurance carrier or call the provider to verify.