Ut Southwestern Dva Healthcare LLP

Primary specialty

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

License

007230 Issued in TX

Legal business name

UT SOUTHWESTERN DVA HEALTHCARE LLP

Doing business as

Dallas East Dialysis

Practice address

3402 N Buckner Blvd Ste 308
Dallas, TX 75228-5656

Phone

(214) 660-9413

Fax

(214) 660-9465

NPI assigned

Apr 10, 2006

Last updated

Nov 26, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Samuel T Wey

Title

VP Licensure & Certification

Phone

(615) 341-6641

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Dallas East Dialysis Doing business as

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Other NPIs with the same Medicare PAC ID 2

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

• Ut Southwestern Dva Healthcare LLP

  dba UT Southwestern Dallas Dialysis

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Irving, TX
  • NPI 1336103902

  4284544925

  Same PAC ID
• Ut Southwestern Dva Healthcare LLP

  dba UT Southwestern Oakcliff Dialysis

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Dallas, TX
  • NPI 1649234212

  4284544925

  Same PAC ID

Listed as

DaVita Dallas East DialysisCCN 452822

Overall star rating

3.0 of 5

Ownership

Profit

Certified

Nov 8, 2000

Medicare certification status

ActiveFrom the Provider of Services file

Chain

DaVita

Dialysis stations

32

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

CLIA laboratory certificates

Tax ID family

Dallas East Dialysis3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

• Ut Southwestern Dva Healthcare LLP

  dba UT Southwestern Dallas Dialysis

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Irving, TX
  • NPI 1336103902
  NPD tax ID
• Ut Southwestern Dva Healthcare LLP

  dba UT Southwestern Oakcliff Dialysis

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Dallas, TX
  • NPI 1649234212
  NPD tax ID

Member of 1

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

• Dva Renal Healthcare Inc

  dba Florissant Dialysis

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Saint Louis, MO
  • NPI 1740241454

  Member Of

  NPD member

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Nilum Rajora, M.D.

  • Nephrology Physician
  • Dallas, TX
  • NPI 1881646982
  NPD (past)

Affiliated clinicians 3

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

• Tamim Abdallah Hamdi, M.D.

  • Nephrology Physician
  • Dallas, TX
  • NPI 1497902712

  Dialysis facility

  Care Compare affiliation Name & address match
• Nilum Rajora, M.D.

  • Nephrology Physician
  • Dallas, TX
  • NPI 1881646982

  Dialysis facility

  Care Compare affiliation Name & address match
• Peter Noel Vanburen, M.D.

  • Nephrology Physician
  • Dallas, TX
  • NPI 1952503542

  Dialysis facility

  Care Compare affiliation Name & address match

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

{
    "created_epoch": "1144627200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1764115200000",
    "number": "1073576021",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5200 VIRGINIA WAY",
            "address_2": "L&C DEPT",
            "city": "BRENTWOOD",
            "state": "TN",
            "postal_code": "370277569"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3402 N BUCKNER BLVD STE 308",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752285656",
            "telephone_number": "214-660-9413",
            "fax_number": "214-660-9465"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UT SOUTHWESTERN DVA HEALTHCARE LLP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-10",
        "last_updated": "2025-11-26",
        "certification_date": "2025-11-26",
        "status": "A",
        "authorized_official_last_name": "WEY",
        "authorized_official_first_name": "SAMUEL",
        "authorized_official_middle_name": "T",
        "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": "TX",
            "license": "007230",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "094339101",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dallas East Dialysis",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Dallas East Dialysis",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Daniela Usuga
• Ut Southwestern
• Ut Southwestern
• Ut Southwestern
• Ut Southwestern
• Ut Southwestern Dva Healthcare LLP (UT Southwestern Oakcliff Dialysis)
• Ut Southwestern Medical Center
• Ut Southwestern Medical Center
• Ut Southwestern Medical Center
• Ut Southwestern Medical Center

• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Dallas, TX
• Providers in Dallas, TX by specialty
• 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 Nov 26, 2025; 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.