CHANTILLY DIALYSIS
NPI 1790213593
Clinic/Center - End-Stage Renal Disease (ESRD) Treatment in Chantilly, VA

Active since May 24, 2017CLIA 49D2138131 · Waiver
5/5
Overall Rating
14225 SULLYFIELD CIR STE A, CHANTILLY, VA 20151(703) 263-0215(703) 378-7692 Get Directions Write a Review

NPPES record last updated: January 11, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 18, 2023, Feb 25, 2021, Mar 23, 2020 and 4 more (7 updates tracked since 2017).

About Chantilly Dialysis NPPES

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

CHANTILLY DIALYSIS (NPI 1790213593) is a healthcare organization registered as an end-stage renal disease (esrd) treatment in Chantilly, Virginia and active in the NPI registry since May 2017. The organization holds a CLIA Waiver certificate valid through October 9, 2027 and lists Samuel T Wey, Vp Licensure & Certification, as its authorized official.

NPPES Registry Identity

NPI1790213593
Entity TypeOrganization
Primary Taxonomy261QE0700X
Legal Business NameOGANO DIALYSIS LLC
Location Address14225 SULLYFIELD CIR STE AChantilly, VA 20151-1688
Mailing Address5200 Virginia Way, Att: L&c DepartmentBrentwood, TN 37027-7569 · (615) 320-4214 · Fax (866) 944-3352
Fax(703) 378-7692
Organization SubpartNo
Authorized OfficialSamuel T WeyVp Licensure & Certification · (615) 341-6641
Enumeration DateMay 24, 2017
Last NPPES UpdateJanuary 11, 20247 updates tracked since enumeration
NPPES CertifiedJanuary 10, 2024
NPI 1790213593 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
14225 SULLYFIELD CIR STE A, Chantilly, VA 20151

Other Names 1

Doing Business AsChantilly Dialysis

Other Identifiers 1

Medicaid1790213593VA

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 49D2138131

Chantilly Dialysis · Chantilly, VA
Active · expires Oct 9, 2027
CLIA Number49D2138131
Laboratory TypeEnd Stage Renal Disease Dialysis Facility
Certificate Effective DateOctober 10, 2025
Certificate Expiration DateOctober 9, 2027
Laboratory DirectorNeeja Tandra
Laboratory Phone(703) 263-1671
Laboratory LocationChantilly Dialysis14225 Sullyfield Circle - Suite A, Chantilly, VA 20151
CLIA data matches this NPI record on: Name
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 Chantilly Dialysis (CMS certification number 492722), from CMS Care Compare.

DaVita Chantilly Dialysis

Dialysis facility · Chantilly, VA
5/5 CMS RatingRating period January 2020 to December 2023
OwnershipProfit
ChainDaVita
CMS Certification Number492722
ESRD NetworkNetwork 5
Hemodialysis Stations17
Medicare-Certified SinceAugust 20, 2018
Location14225 Sullyfield Circle Suite AChantilly, VA 20151 · Fairfax County
Services Offered
In-center hemodialysis

Other Providers at the Same Location NPPES

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

Social Worker (Clinical)
14225 SULLYFIELD CIR STE A
CHANTILLY, VA 20151

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 Ogano Dialysis LLC's NPI number?

The NPI number for Ogano Dialysis LLC is 1790213593. It was assigned to this organization in the NPPES registry on May 24, 2017. The provider is doing business as Chantilly Dialysis.

Where is Ogano Dialysis LLC located?

Ogano Dialysis LLC is located at 14225 Sullyfield Cir Ste A, Chantilly, VA 20151. The listed phone number is (703) 263-0215.

What is Ogano Dialysis 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 Ogano Dialysis LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 49D2138131) is associated with this NPI, valid through October 9, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

Is Ogano Dialysis LLC a Medicare-certified dialysis facility?

Yes. DaVita Chantilly Dialysis is a Medicare-certified dialysis facility, certified since August 20, 2018.

What quality rating does Ogano Dialysis LLC have?

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

What insurance does Ogano Dialysis LLC accept?

Health plans from Oscar Health Insurance, Oscar Health Maintenance Organization of Florida, Oscar Health Plan of North Carolina, Inc, Oscar Health Plan, Inc. and Oscar Insurance Company and 2 other insurers list Ogano Dialysis 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 Ogano Dialysis LLC was last updated on January 11, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.