Cerito Dialysis Partners LLC

Primary specialty

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

License

202 Issued in TN

Legal business name

CERITO DIALYSIS PARTNERS LLC

Practice address

7990 Trinity Rd
Ste 101
Cordova, TN 38018-7731

Phone

(901) 751-3120

Fax

(901) 751-3223

NPI assigned

Apr 13, 2010

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

• Wolf River Dialysis Doing business as

Medicare fee-for-service enrollment

Enrolled in TN

Enrollment records 1

Listed as

DaVita Wolf River DialysisCCN 442709

Overall star rating

3.0 of 5

Ownership

Profit

Certified

Dec 29, 2010

Medicare certification status

ActiveFrom the Provider of Services file

Chain

DaVita

Dialysis stations

12

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.

• Total Renal Care Inc

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Burlington, WA
  • NPI 1932595584

  Member Of

  NPD member

Affiliated clinicians 1

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

• Sanjeev Kumar Mittal, MD

  • Nephrology Physician
  • Memphis, TN
  • NPI 1689603102

  Dialysis facility

  Care Compare affiliation Name & address match

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

{
    "created_epoch": "1271116800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1772409600000",
    "number": "1073839296",
    "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": "7990 TRINITY RD",
            "address_2": "STE 101",
            "city": "CORDOVA",
            "state": "TN",
            "postal_code": "380187731",
            "telephone_number": "901-751-3120",
            "fax_number": "901-751-3223"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CERITO DIALYSIS PARTNERS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-04-13",
        "last_updated": "2026-03-02",
        "certification_date": "2026-03-02",
        "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": "TN",
            "license": "202",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0442709",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Wolf River Dialysis",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Wolf River Dialysis",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Mark Castle, PT, DPT
• Jacques Nicole Causey, LPC
• CD-TT Cordova, LLC
• Clayton Cea
• Sandra Cea, M.S.
• Yaohui Chai, M.D.
• Jasmine Chalmers
• Andrew Springfield Chalona, P.T.
• Chamberlin Clinic, PA
• Crystal Chambliss

• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Cordova, TN
• Providers in Cordova, TN by specialty
• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2026; 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.