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Whitney Dialysis LLC

Clinic/Center, End-Stage Renal Disease (ESRD) Treatment in Oxon Hill, MD. Organization (NPI-2).

NPI number1497029664
StatusActive
Last updated in NPPESJan 20, 2025

Details

NPI
1497029664
Entity type
Organization (NPI-2)
Legal business name
Whitney Dialysis LLC
Organization subpart
No
Enumeration date
Mar 5, 2012
Certification date
Jan 20, 2025
Last updated
Jan 20, 2025

Medicare and OIG

Medicare enrolled (PECOS)
Yes · PART A PROVIDER - END-STAGE RENAL DISEASE FACILITY (ESRD)
Can order and refer
Not on the CMS order and referring list
OIG exclusion list
This NPI is not listed

CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
261QE0700X Clinic/Center, End-Stage Renal Disease (ESRD) Treatment––Yes

Practice location

5442 Saint Barnabas Rd
Oxon Hill, MD 20745-3622

Phone 301-894-0572 · Fax 301-630-1389

Mailing address

5200 Virginia Way
Att: L&C Dept
Brentwood, TN 37027-7569

Authorized official

Samuel T Wey
Vp, Licensure & Certification
6153416641

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

Other End-Stage Renal Disease (ESRD) Treatment Clinic/Center providers in Oxon Hill, MD

All 5 End-Stage Renal Disease (ESRD) Treatment Clinic/Center providers in Oxon Hill · All 715 providers in Oxon Hill

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