DAVITA MEDICAL HOME LLC
NPI 1588525935
Nurse Practitioner - Adult Health in Chesapeake, VA

Active since November 24, 2025
745 BATTLEFIELD BLVD N STE 100, CHESAPEAKE, VA 23320(757) 312-8346 Get Directions Write a Review

NPPES record last updated: April 28, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Apr 28, 2026, Nov 24, 2025 (2 updates tracked since 2025).

About Davita Medical Home Llc NPPES

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

DAVITA MEDICAL HOME LLC (NPI 1588525935) is a healthcare organization registered as an adult health in Chesapeake, Virginia and active in the NPI registry since November 2025. The organization lists Samuel T Wey, Vp, Licensure & Certification, as its authorized official.

NPPES Registry Identity

NPI1588525935
Entity TypeOrganization
Primary Taxonomy363LA2200X
Legal Business NameDAVITA MEDICAL HOME LLC
Location Address745 BATTLEFIELD BLVD N STE 100Chesapeake, VA 23320-0305
Mailing Address2000 16th StDenver, CO 80202-5117
Organization SubpartYesParent: Davita Inc
Authorized OfficialSamuel T WeyVp, Licensure & Certification · (615) 341-6641
Enumeration DateNovember 24, 2025
Last NPPES UpdateApril 28, 20262 updates tracked since enumeration
NPPES CertifiedApril 28, 2026
✔ NPI 1588525935 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2200X
745 BATTLEFIELD BLVD N STE 100, Chesapeake, VA 23320

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Davita Medical Home Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Davita Medical Home LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Nurse Practitioner
NPI 1710527544
745 BATTLEFIELD BLVD N STE 100
Chesapeake, VA 23320
(800) 244-0680
✔ PECOSSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Davita Medical Home LLC's NPI number?

The NPI number for Davita Medical Home LLC is 1588525935. It was assigned to this organization in the NPPES registry on November 24, 2025.

Where is Davita Medical Home LLC located?

Davita Medical Home LLC is located at 745 Battlefield Blvd N Ste 100, Chesapeake, VA 23320. The listed phone number is (757) 312-8346.

What is Davita Medical Home LLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

Is Davita Medical Home LLC enrolled in Medicare?

Yes. Davita Medical Home LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Davita Medical Home LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nurse Practitioner) reassigns their Medicare billing to Davita Medical Home LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Davita Medical Home LLC was last updated on April 28, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 months 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.