WYANDOTTE WEST DIALYSIS
NPI 1902865876
Clinic/Center - End-Stage Renal Disease (ESRD) Treatment in Kansas City, KS

Q: What is DVA Healthcare Renal Care Inc's NPI number?

The NPI number for DVA Healthcare Renal Care Inc is 1902865876. It was assigned to this organization in the NPPES registry on March 20, 2006. The provider is doing business as Wyandotte West Dialysis.

Q: What is DVA Healthcare Renal Care Inc's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in End-Stage Renal Disease (ESRD) Treatment, with taxonomy code 261QE0700X.

Active since March 20, 2006CLIA 17D0956050 · Waiver

11014 HASKELL AVE, KANSAS CITY, KS 66109(913) 721-9780(913) 721-9818 Get Directions Write a Review

NPPES record last updated: May 23, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Apr 14, 2022, Jul 27, 2020, Feb 20, 2019 and 1 more (4 updates tracked since 2018).

On this page

About Wyandotte West Dialysis NPPES

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

WYANDOTTE WEST DIALYSIS (NPI 1902865876) is a healthcare organization registered as an end-stage renal disease (esrd) treatment in Kansas City, Kansas and active in the NPI registry since March 2006. The organization holds a CLIA Waiver certificate valid through January 18, 2027 and lists Samuel Wey, Vp, Licensure & Certification, as its authorized official.

NPPES Registry Identity

NPI1902865876

Entity TypeOrganization

Primary Taxonomy261QE0700X

Legal Business NameDVA HEALTHCARE RENAL CARE INC

Location Address11014 HASKELL AVEKansas City, KS 66109-4404

Mailing Address5200 Virginia Way, L&c DeptBrentwood, TN 37027-7569

Phone(913) 721-9780

Fax(913) 721-9818

Organization SubpartNo

Authorized OfficialSamuel WeyVp, Licensure & Certification · (615) 341-6641

Enumeration DateMarch 20, 2006

Last NPPES UpdateMay 23, 20244 updates tracked since enumeration

NPPES CertifiedMay 23, 2024

✔ NPI 1902865876 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

11014 HASKELL AVE, Kansas City, KS 66109

Open in Google Maps ↗

Other Names 1

Doing Business AsWyandotte West Dialysis

Other Identifiers 3

Medicaid100213850NKS

Medicaid946155373AGA

Medicaid505217406MO

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Home State Health, Ambetter from Sunflower Health Plan, Ambetter Health 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 17D0956050

Wyandotte West Dialysis · Kansas City, KS

Active · expires Jan 18, 2027

CLIA Number17D0956050

Laboratory TypeEnd Stage Renal Disease Dialysis Facility

Certificate Effective DateJanuary 19, 2025

Certificate Expiration DateJanuary 18, 2027

Laboratory DirectorVenu Nair

Laboratory Phone(913) 721-9780

Laboratory LocationWyandotte West Dialysis11014 Haskell Avenue, Kansas City, KS 66109

CLIA data matches this NPI record on: Address Name Phone

This certificate is issued to a laboratory to perform only waived tests.

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 Renal Care Inc's NPI number?

The NPI number for DVA Healthcare Renal Care Inc is 1902865876. It was assigned to this organization in the NPPES registry on March 20, 2006. The provider is doing business as Wyandotte West Dialysis.

Where is DVA Healthcare Renal Care Inc located?

DVA Healthcare Renal Care Inc is located at 11014 Haskell Ave, Kansas City, KS 66109. The listed phone number is (913) 721-9780.

What is DVA Healthcare Renal Care Inc'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 DVA Healthcare Renal Care Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 17D0956050) is associated with this NPI, valid through January 18, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does DVA Healthcare Renal Care Inc accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Home State Health, Ambetter from Sunflower Health Plan and Ambetter of Oklahoma and 9 other insurers list DVA Healthcare Renal Care Inc 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 Renal Care Inc was last updated on May 23, 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.