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LIBERTY DIALYSIS PETERSBURG LLC
NPI 1790798379
Clinic/Center - End-Stage Renal Disease (ESRD) Treatment in Petersburg, VA

Active since August 14, 2006CLIA 49D1052367 · Waiver
1/5
Overall Rating
3400 S CRATER RD, PETERSBURG, VA 23805(804) 732-8228(804) 732-8288 Get Directions Write a Review

NPPES record last updated: October 17, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Oct 17, 2023, Aug 27, 2021 (2 updates tracked since 2021).

About Liberty Dialysis Petersburg Llc NPPES

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

LIBERTY DIALYSIS PETERSBURG LLC (NPI 1790798379) is a healthcare organization registered as an end-stage renal disease (esrd) treatment in Petersburg, Virginia and active in the NPI registry since August 2006. The organization holds a CLIA Waiver certificate valid through April 2, 2028 and lists Barry L. Blanton, Vice President, as its authorized official.

NPPES Registry Identity

NPI1790798379
Entity TypeOrganization
Primary Taxonomy261QE0700X
Legal Business NameLIBERTY DIALYSIS PETERSBURG, LLC
Location Address3400 S CRATER RDPetersburg, VA 23805-9252
Mailing Address3400 S Crater RdPetersburg, VA 23805-9252 · (804) 732-8228 · Fax (804) 732-8288
Phone(804) 732-8228
Fax(804) 732-8288
Organization SubpartYesParent: Fresenius Medical Care Holdings, Inc.
Authorized OfficialBarry L. BlantonVice President · (781) 699-9000
Enumeration DateAugust 14, 2006
Last NPPES UpdateOctober 17, 20232 updates tracked since enumeration
NPPES CertifiedOctober 17, 2023
✔ NPI 1790798379 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
3400 S CRATER RD, Petersburg, VA 23805
Open in Google Maps ↗

Other Names 1

Doing Business AsLiberty Dialysis Petersburg Llc

Other Identifiers 1

Other195526Anthem Bcbs Of Va

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Oscar Health Insurance, Oscar Health Maintenance Organization of Florida, Oscar Health Plan, Inc. and more.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 49D1052367

Liberty Dialysis Petersburg · Petersburg, VA
Active · expires Apr 2, 2028
CLIA Number49D1052367
Laboratory TypeEnd Stage Renal Disease Dialysis Facility
Certificate Effective DateApril 3, 2026
Certificate Expiration DateApril 2, 2028
Laboratory DirectorVijaya Chirumamilla, MD
Laboratory Phone(704) 896-6869
Laboratory LocationLiberty Dialysis Petersburg3400 S Crater Road, Petersburg, VA 23805
CLIA data matches this NPI record on: Address 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 Liberty Dialysis Petersburg (CMS certification number 492634), from CMS Care Compare.

Liberty Dialysis Petersburg

Dialysis facility · Petersburg, VA
1/5 CMS RatingRating period January 2020 to December 2023
OwnershipProfit
ChainFresenius Medical Care
CMS Certification Number492634
ESRD NetworkNetwork 5
Hemodialysis Stations36
Medicare-Certified SinceMay 12, 2006
Location3400 S CRATER RDPetersburg, VA 23805 · Petersburg City County
Phone(804) 732-8228
Services Offered
In-center hemodialysis Peritoneal dialysis Evening shifts (after 5 PM)

Patient Survey Results

Nephrologists’ communication and caring
Patients who reported their kidney doctors always communicated well and cared for them as a person.
62% 3/5
Dialysis center care and operations
Patients who reported center staff always communicated well, kept them as comfortable as possible, behaved professionally and kept the center clean.
54% 2/5
Providing information to patients
Patients who reported their kidney doctors and center staff gave them the information they needed to care for their health.
73% 2/5
Rating of the kidney doctors
Patients who rated their kidney doctors 9 or 10 on a scale of 0 (worst) to 10 (best).
51% 2/5
Rating of the dialysis center staff
Patients who rated the center staff 9 or 10 on a scale of 0 (worst) to 10 (best).
40% 2/5
Rating of the dialysis center
Patients who rated the dialysis center 9 or 10 on a scale of 0 (worst) to 10 (best).
41% 2/5
Percentages are patients giving the best possible responses in the In-Center Hemodialysis (ICH CAHPS) patient survey. Star ratings are assigned by CMS on a one-to-five star scale; five is the highest.

Other Providers at the Same Location NPPES 5

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

SOUTHSIDE KIDNEY SPECIALISTS
Internal Medicine (Nephrology)
3400 S CRATER RD, SUITE B
PETERSBURG, VA 23805
Petersburg City (804) 733-6960
DR. VIJAYA LAKSHMI CHIRUMAMILLA M.D.
Internal Medicine (Nephrology)
3400 S CRATER RD, SUITE B
PETERSBURG, VA 23805
Petersburg City (804) 733-6960
SOUTHSIDE KIDNEY SPECIALISTS
Internal Medicine (Nephrology)
3400 S CRATER RD, STE #B
PETERSBURG, VA 23805
Petersburg City (804) 733-6960
MRS. TAMMY FAYE PETERSON
Dietitian, Registered
3400 S CRATER RD, STE.B
PETERSBURG, VA 23805
Petersburg City (804) 733-6960
DR. SUDHAKAR CHANDRAKUMAR RELTON MD
Internal Medicine (Nephrology)
3400 S CRATER RD
PETERSBURG, VA 23805
Petersburg City (804) 733-6960

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 Liberty Dialysis Petersburg, LLC's NPI number?

The NPI number for Liberty Dialysis Petersburg, LLC is 1790798379. It was assigned to this organization in the NPPES registry on August 14, 2006. The provider is doing business as Liberty Dialysis Petersburg LLC.

Where is Liberty Dialysis Petersburg, LLC located?

Liberty Dialysis Petersburg, LLC is located at 3400 S Crater Rd, Petersburg, VA 23805. The listed phone number is (804) 732-8228.

What is Liberty Dialysis Petersburg, 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 Liberty Dialysis Petersburg, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 49D1052367) is associated with this NPI, valid through April 2, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

Is Liberty Dialysis Petersburg, LLC a Medicare-certified dialysis facility?

Yes. Liberty Dialysis Petersburg is a Medicare-certified dialysis facility, certified since May 12, 2006.

What quality rating does Liberty Dialysis Petersburg, LLC have?

CMS rates Liberty Dialysis Petersburg 1 out of 5 stars on Care Compare. The full measure detail is in the Dialysis Facility Quality section above.

What insurance does Liberty Dialysis Petersburg, LLC accept?

Health plans from Oscar Health Insurance, Oscar Health Maintenance Organization of Florida, Oscar Health Plan, Inc., Oscar Insurance Company and Oscar Insurance Corporation of Ohio and 1 other insurer list Liberty Dialysis Petersburg, 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 Liberty Dialysis Petersburg, LLC was last updated on October 17, 2023. 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.