Dva Healthcare of Massachusetts Inc
NPI 1205415593 · End-Stage Renal Disease (ESRD) Treatment Clinic/Center · Medford, MA
Enrolled with Medicare as Part a Provider - End-Stage Renal Disease Facility (esrd) · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Dva Healthcare of Massachusetts Inc is a End-Stage Renal Disease (ESRD) Treatment Clinic/Center organization in Medford, MA (NPI 1205415593).
Provider details
- NPI number
- 1205415593
- Entity type
- Organization
- Primary specialty
- End-Stage Renal Disease (ESRD) Treatment Clinic/CenterAmbulatory Health Care Facilities
- Parent organization
- Davita Inc
- Organization subpart
- Yes
- Authorized official
- Samuel Wey, Vp Licensure & Certification(615) 341-6641
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
5 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Other names (DBA / former)
- Doing business as
- Mystic River Home Training
- Doing business as
- Mystic River Home Training
Registry dates
- Enumerated
- 2021-04-05
- Last updated
- 2025-04-07
- Certified
- 2025-04-07
Frequently asked questions
- What is Dva Healthcare of Massachusetts Inc's NPI number?
- Dva Healthcare of Massachusetts Inc's National Provider Identifier (NPI) is 1205415593, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Dva Healthcare of Massachusetts Inc?
- Dva Healthcare of Massachusetts Inc is classified in the NPPES registry as End-Stage Renal Disease (ESRD) Treatment Clinic/Center (Ambulatory Health Care Facilities).
- Where is Dva Healthcare of Massachusetts Inc located?
- Dva Healthcare of Massachusetts Inc's practice location on file with NPPES is 712 Fellsway, Medford, MA 02115.
- What is Dva Healthcare of Massachusetts Inc's phone number?
- The practice phone number listed in the NPPES registry for Dva Healthcare of Massachusetts Inc is (781) 957-4032.
- Does Dva Healthcare of Massachusetts Inc accept Medicare?
- Dva Healthcare of Massachusetts Inc is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Dva Healthcare of Massachusetts Inc?
- The authorized official listed on Dva Healthcare of Massachusetts Inc's NPPES record is Samuel Wey, Vp Licensure & Certification. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Dva Healthcare of Massachusetts Inc's NPI active?
- Yes — Dva Healthcare of Massachusetts Inc's NPI (1205415593) is active in the NPPES registry as of the last update on 2025-04-07.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.