Active NPI
Renal Treatment Centers-Southeast, LP.
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- New Caney, TX
National Provider Identifier
1104889849
On this page
Key facts
NPPES NPI Registry- Primary specialty
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- License
- 000239
- Legal business name
- RENAL TREATMENT CENTERS-SOUTHEAST, LP.
- Practice address
- 22118 Market Place Dr
Ste 100
New Caney, TX 77357-2110 - Phone
- (281) 577-0006
- Fax
- (281) 354-1728
- NPI assigned
- Apr 11, 2006
- Organization subpart
- No
Authorized official
NPPES NPI Registry- Name
- Samuel T Wey Jr.
- Title
- VP, Licensure & Certification
- Phone
- (615) 341-6641
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 45D0856941 | Valley Ranch Dialysis | Certificate of waiver | Jul 31, 2026 |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20150617000020 | TX | Part A Provider - End-Stage Renal Disease Facility (ESRD) | 1658555255 | Practice locations: New Caney, TX |
National Provider Directory
National Provider Directory- Tax ID family
- Degray Dialysis
Organizations with this tax ID in the same state 16
This tax ID family is large, so up to 24 of its organizations in the same state are linked here.
-
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Lake Jackson, TX
- NPI 1215961545
-
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Plano, TX
- NPI 1043457484
-
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Beeville, TX
- NPI 1225056005
-
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Cleveland, TX
- NPI 1063475036
-
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Victoria, TX
- NPI 1164486742
-
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Mesquite, TX
- NPI 1184547432
-
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Houston, TX
- NPI 1255748224
-
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Angleton, TX
- NPI 1043627003
-
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- El Paso, TX
- NPI 1053636548
-
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Cuero, TX
- NPI 1124284500
-
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Zapata, TX
- NPI 1134667264
-
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Houston, TX
- NPI 1164486791
Specialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| End-Stage Renal Disease (ESRD) Treatment Clinic/Center | 261QE0700X | 000239 | TX | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
22118 Market Place Dr
Ste 100
New Caney, TX 77357-2110
Mailing address
5200 Virginia Way
L&C Department
Brentwood, TN 37027-7569
Other identifiers 1
NPPES NPI Registry| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0942781-05 | Medicaid | TX |
Other names 1
NPPES NPI Registry- Valley Ranch Dialysis
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Mar 27, 2026.
{
"created_epoch": "1144713600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1774569600000",
"number": "1104889849",
"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": "22118 MARKET PLACE DR",
"address_2": "STE 100",
"city": "NEW CANEY",
"state": "TX",
"postal_code": "773572110",
"telephone_number": "281-577-0006",
"fax_number": "281-354-1728"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "RENAL TREATMENT CENTERS-SOUTHEAST, LP.",
"organizational_subpart": "NO",
"enumeration_date": "2006-04-11",
"last_updated": "2026-03-27",
"certification_date": "2026-03-27",
"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",
"authorized_official_name_suffix": "Jr."
},
"taxonomies": [
{
"code": "261QE0700X",
"taxonomy_group": "",
"desc": "Clinic/Center, End-Stage Renal Disease (ESRD) Treatment",
"state": "TX",
"license": "000239",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0942781-05",
"state": "TX"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Valley Ranch Dialysis",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Valley Ranch Dialysis",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in New Caney, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 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.