Ogano Dialysis LLC
Ogano Dialysis LLC is a healthcare organization registered as End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Chantilly, VA, holding Type 2 (organization) NPI 1790213593 since 2017. The authorized official on file is Samuel Wey, Vp Licensure & Certification.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1790213593 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Ogano Dialysis LLC |
| Other name | <Unavail> |
| Practice address | 14225 SULLYFIELD CIR STE A, Chantilly, VA, 20151 |
| Phone | 7032630215 |
| Fax | 7033787692 |
| Enumeration date | 2017-05-24 |
| Last updated in NPPES | 2024-01-11 |
Authorized official
| Name | Samuel Wey |
|---|---|
| Title | Vp Licensure & Certification |
| Phone | 6153416641 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 261QE0700X | End-Stage Renal Disease (ESRD) Treatment Clinic/Center | Primary | — | — |
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790213593 | Medicaid | VA | — |
Copy-ready billing details
Provider: Ogano Dialysis LLC NPI: 1790213593 Taxonomy: 261QE0700X (End-Stage Renal Disease (ESRD) Treatment Clinic/Center) Address: 14225 SULLYFIELD CIR STE A, Chantilly, VA, 20151
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1134812910 | Nicole Marshall | Individual | Clinical Social Worker | Chantilly, VA |
Verify this record
Cross-check NPI 1790213593 against the authoritative CMS record: view Ogano Dialysis LLC on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
Frequently asked questions
How current is this record?
Where is Ogano Dialysis LLC located?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2024-01-11.