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DEARBORN DIALYSIS
NPI 1962463463
Clinic/Center - End-Stage Renal Disease (ESRD) Treatment in Dearborn, MI

Active since April 01, 2006CLIA 23D0709905 · Waiver
3/5
Overall Rating
1185 MONROE ST, DEARBORN, MI 48124(313) 274-8100(313) 274-8103 Get Directions Write a Review

NPPES record last updated: January 16, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Apr 28, 2022, Jan 14, 2019 (2 updates tracked since 2019).

About Dearborn Dialysis NPPES

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

DEARBORN DIALYSIS (NPI 1962463463) is a healthcare organization registered as an end-stage renal disease (esrd) treatment in Dearborn, Michigan and active in the NPI registry since April 2006. The organization holds a CLIA Waiver certificate valid through August 31, 2026 and lists Samuel T Wey, Vp Licensure & Certification, as its authorized official.

NPPES Registry Identity

NPI1962463463
Entity TypeOrganization
Primary Taxonomy261QE0700X
Legal Business NameDVA HEALTHCARE RENAL CARE INC
Location Address1185 MONROE STDearborn, MI 48124-2814
Mailing Address5200 Virginia Way, Att: L&c DeptBrentwood, TN 37027-7569
Phone(313) 274-8100
Fax(313) 274-8103
Organization SubpartNo
Authorized OfficialSamuel T WeyVp Licensure & Certification · (615) 341-6641
Enumeration DateApril 1, 2006
Last NPPES UpdateJanuary 16, 20252 updates tracked since enumeration
NPPES CertifiedJanuary 16, 2025
✔ NPI 1962463463 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
1185 MONROE ST, Dearborn, MI 48124
Open in Google Maps ↗

Other Names 1

Doing Business AsDearborn Dialysis

Other Identifiers 2

Medicaid2222991OH
Medicaid3208498MI

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, 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 23D0709905

Dearborn Dialysis · Dearborn, MI
Active · expires Aug 31, 2026
CLIA Number23D0709905
Laboratory TypeEnd Stage Renal Disease Dialysis Facility
Certificate Effective DateSeptember 1, 2024
Certificate Expiration DateAugust 31, 2026
Laboratory DirectorKhrishnapillai Thavarajah MD
Laboratory Phone(313) 274-8100
Laboratory LocationDearborn Dialysis1185 Monroe, Dearborn, MI 48124
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 Dearborn Dialysis (CMS certification number 232520), from CMS Care Compare.

DaVita Dearborn Dialysis

Dialysis facility · Dearborn, MI
3/5 CMS RatingRating period January 2020 to December 2023
OwnershipProfit
ChainDaVita
CMS Certification Number232520
ESRD NetworkNetwork 11
Hemodialysis Stations25
Medicare-Certified SinceDecember 13, 1991
Location1185 MONROE STDearborn, MI 48124 · Wayne County
Phone(313) 274-8100
Services Offered
In-center hemodialysis Peritoneal dialysis Evening shifts (after 5 PM)

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 1962463463. It was assigned to this organization in the NPPES registry on April 1, 2006. The provider is doing business as Dearborn Dialysis.

Where is DVA Healthcare Renal Care Inc located?

DVA Healthcare Renal Care Inc is located at 1185 Monroe St, Dearborn, MI 48124. The listed phone number is (313) 274-8100.

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 23D0709905) is associated with this NPI, valid through August 31, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

Is DVA Healthcare Renal Care Inc a Medicare-certified dialysis facility?

Yes. DaVita Dearborn Dialysis is a Medicare-certified dialysis facility, certified since December 13, 1991.

What quality rating does DVA Healthcare Renal Care Inc have?

CMS rates DaVita Dearborn Dialysis 3 out of 5 stars on Care Compare. The full measure detail is in the Dialysis Facility Quality section above.

What insurance does DVA Healthcare Renal Care Inc accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company 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 January 16, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.