Gilwards Dialysis LLC

Primary specialty

End-Stage Renal Disease (ESRD) Treatment Clinic/CenterTaxonomy code 261QE0700X

Legal business name

GILWARDS DIALYSIS LLC

Practice address

6018 Parkway Dr
Corpus Christi, TX 78414-2488

Phone

(361) 994-5262

Fax

(361) 994-5232

NPI assigned

Jun 14, 2017

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Samuel Wey

Title

VP Licensure & Certification

Phone

(615) 341-6641

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Southside Dialysis Doing business as

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Listed as

DaVita Southside DialysisCCN 742527

Overall star rating

4.0 of 5

Ownership

Profit

Certified

Feb 13, 2019

Medicare certification status

ActiveFrom the Provider of Services file

Chain

DaVita

Dialysis stations

22

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• Renal Treatment Centers-Southeast, LP.

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Donna, TX
  • NPI 1902353543

  Member Of

  NPD member

Locations

Networks

• devoted network organization-29f43891-2cde-4604-ab6a-baa4d2061a18Plans: DEVOTED CHOICE MA ONLY 006 TX (PPO) (H6813-006-000, H6813); DEVOTED CHOICE GIVEBACK 001 TX (PPO) (H6813-001-000, H6813)

Affiliated clinicians 6

Clinicians who list this facility as an affiliation in Medicare Care Compare.

• Shah Faizul Islam, M.D.

  • Nephrology Physician
  • Corpus Christi, TX
  • NPI 1841293727

  Dialysis facility

  Care Compare affiliation Name & address match
• Karim N Nooruddin, M.D.

  • Internal Medicine Physician
  • Aransas Pass, TX
  • NPI 1386647253

  Dialysis facility

  Care Compare affiliation Name & address match
• Geeta P Reddy, M.D.

  • Nephrology Physician
  • Corpus Christi, TX
  • NPI 1144223876

  Dialysis facility

  Care Compare affiliation Name & address match
• William Lee Shaffer, M.D.

  • Nephrology Physician
  • Corpus Christi, TX
  • NPI 1972506913

  Dialysis facility

  Care Compare affiliation Name & address match
• Prabhat Singh, M.D.

  • Internal Medicine Physician
  • Corpus Christi, TX
  • NPI 1780972133

  Dialysis facility

  Care Compare affiliation Name & address match
• Fariba Zarinetchi, M.D.

  • Nephrology Physician
  • Corpus Christi, TX
  • NPI 1518960491

  Dialysis facility

  Care Compare affiliation Name & address match

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1497398400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1714435200000",
    "number": "1003346792",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5200 VIRGINIA WAY",
            "address_2": "L&C DEPARTMENT",
            "city": "BRENTWOOD",
            "state": "TN",
            "postal_code": "370277569"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6018 PARKWAY DR",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784142488",
            "telephone_number": "361-994-5262",
            "fax_number": "361-994-5232"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GILWARDS DIALYSIS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-06-14",
        "last_updated": "2024-04-30",
        "certification_date": "2024-04-30",
        "status": "A",
        "authorized_official_last_name": "WEY",
        "authorized_official_first_name": "SAMUEL",
        "authorized_official_title_or_position": "VP LICENSURE & CERTIFICATION",
        "authorized_official_telephone_number": "615-341-6641"
    },
    "taxonomies": [
        {
            "code": "261QE0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, End-Stage Renal Disease (ESRD) Treatment",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3973893-01",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Southside Dialysis",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Southside Dialysis",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• David Perez Gilbert, D.O.
• John Thomas Gill, O.D.
• Logan Rae Gill, SLP
• Charles Wayne Gilleland, M.D.
• Sheryll Payumo Gilmore, MSN, APRN
• Bridgett Gipson
• Yvonne Gipson
• Shannan Chanel Girdy, DC
• Margaret Elizabeth Giro, DO
• Cornelia Gittens-Huss, OTR/L

• All providers in Corpus Christi, TX
• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.