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CORAL HILLS DIALYSIS
NPI 1942554407
Clinic/Center - End-Stage Renal Disease (ESRD) Treatment in Capitol Heights, MD

Active since November 06, 2012CLIA 21D2066239 · Waiver
1/5
Overall Rating
4797 MARLBORO PIKE, CAPITOL HEIGHTS, MD 20743(301) 420-1513(301) 420-3912 Get Directions Write a Review

NPPES record last updated: October 31, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Oct 31, 2023, Apr 20, 2020, Feb 21, 2020 and 1 more (4 updates tracked since 2019).

About Coral Hills Dialysis NPPES

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

CORAL HILLS DIALYSIS (NPI 1942554407) is a healthcare organization registered as an end-stage renal disease (esrd) treatment in Capitol Heights, Maryland and active in the NPI registry since November 2012. The organization holds a CLIA Waiver certificate valid through September 23, 2027 and lists Samuel T Wey, Vp Licensure & Certification, as its authorized official.

NPPES Registry Identity

NPI1942554407
Entity TypeOrganization
Primary Taxonomy261QE0700X
Legal Business NameCLEBURNE DIALYSIS LLC
Location Address4797 MARLBORO PIKECapitol Heights, MD 20743-5213
Mailing Address5200 Virginia Way, L&c DepartmentBrentwood, TN 37027-7569 · (615) 320-4214 · Fax (866) 944-3352
Phone(301) 420-1513
Fax(301) 420-3912
Organization SubpartNo
Authorized OfficialSamuel T WeyVp Licensure & Certification · (615) 341-6641
Enumeration DateNovember 6, 2012
Last NPPES UpdateOctober 31, 20234 updates tracked since enumeration
NPPES CertifiedOctober 31, 2023
✔ NPI 1942554407 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
License✔ Licensed in MD · E2683
4797 MARLBORO PIKE, Capitol Heights, MD 20743
Open in Google Maps ↗

Other Names 1

Doing Business AsCoral Hills Dialysis

Other Identifiers 1

Medicaid422880400MD

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include UnitedHealthcare.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 21D2066239

Coral Hills Dialysis · Capitol Heights, MD
Active · expires Sep 23, 2027
CLIA Number21D2066239
Laboratory TypeEnd Stage Renal Disease Dialysis Facility
Certificate Effective DateSeptember 24, 2025
Certificate Expiration DateSeptember 23, 2027
Laboratory DirectorRoopali Gupta
Laboratory Phone(301) 420-1513
Laboratory LocationCoral Hills Dialysis4797 Marlboro Pike, Capitol Heights, MD 20743
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 Coral Hills Dialysis (CMS certification number 212683), from CMS Care Compare.

DaVita Coral Hills Dialysis

Dialysis facility · Capitol Heights, MD
1/5 CMS RatingRating period January 2020 to December 2023
OwnershipProfit
ChainDaVita
CMS Certification Number212683
ESRD NetworkNetwork 5
Hemodialysis Stations19
Medicare-Certified SinceFebruary 26, 2014
Location4797 MARLBORO PIKECapitol Heights, MD 20743 · Prince Georges County
Phone(301) 420-1513
Services Offered
In-center hemodialysis Peritoneal dialysis

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 Cleburne Dialysis LLC's NPI number?

The NPI number for Cleburne Dialysis LLC is 1942554407. It was assigned to this organization in the NPPES registry on November 6, 2012. The provider is doing business as Coral Hills Dialysis.

Where is Cleburne Dialysis LLC located?

Cleburne Dialysis LLC is located at 4797 Marlboro Pike, Capitol Heights, MD 20743. The listed phone number is (301) 420-1513.

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

Yes. A Certificate of Waiver (number 21D2066239) is associated with this NPI, valid through September 23, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

Is Cleburne Dialysis LLC a Medicare-certified dialysis facility?

Yes. DaVita Coral Hills Dialysis is a Medicare-certified dialysis facility, certified since February 26, 2014.

What quality rating does Cleburne Dialysis LLC have?

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

What insurance does Cleburne Dialysis LLC accept?

Health plans from UnitedHealthcare list Cleburne 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 Cleburne Dialysis LLC was last updated on October 31, 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.