Active NPI
Meramec Dialysis, LLC
Doing business as Lockhart Dialysis
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Lockhart, TX
National Provider Identifier
1124410394
On this page
Key facts
NPPES NPI Registry- Primary specialty
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Legal business name
- MERAMEC DIALYSIS, LLC
- Doing business as
- Lockhart Dialysis
- Practice address
- 1806 S Colorado St
Lockhart, TX 78644-3947 - Phone
- (512) 398-6419
- Fax
- (512) 398-6471
- NPI assigned
- Feb 25, 2015
- Last updated
- Jun 15, 2026
- Organization subpart
- No
NPPES NPI Registry
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
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| End-Stage Renal Disease (ESRD) Treatment Clinic/Center | 261QE0700X | Primary |
Addresses
Primary practice location
1806 S Colorado St
Lockhart, TX 78644-3947
Mailing address
5200 Virginia Way
L&C Department
Brentwood, TN 37027-7569
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3810988-01 | Medicaid | TX |
Other names 1
- Lockhart Dialysis
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20150401001834 | TX | Part A Provider - End-Stage Renal Disease Facility (ESRD) | 4284951286 | Practice locations: Lockhart, TX |
Care Compare: Dialysis facility
Medicare Care Compare- Listed as
- DaVita Lockhart Dialysis
- Overall star rating
- Ownership
- Profit
- Certified
- Aug 28, 2017
- Medicare certification status
- Active
- Chain
- DaVita
- Dialysis stations
- 13
Name & address match This facility record has no NPI; it was connected to this NPI by matching name and address.
National Provider Directory
National Provider DirectoryMember of 1
Organizations this organization is a member of, according to the National Provider Directory.
-
dba Barbour County Dialysis
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Eufaula, AL
- NPI 1326583188
Member Of
Locations
1806 S Colorado St
Lockhart, TX 78644
Phone (512) 398-6419
Practitioners & affiliated clinicians
Affiliated clinicians 1
Clinicians who list this facility as an affiliation in Medicare Care Compare.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1424822400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1781481600000",
"number": "1124410394",
"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": "1806 S COLORADO ST",
"city": "LOCKHART",
"state": "TX",
"postal_code": "786443947",
"telephone_number": "512-398-6419",
"fax_number": "512-398-6471"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MERAMEC DIALYSIS, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2015-02-25",
"last_updated": "2026-06-15",
"certification_date": "2026-06-15",
"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": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3810988-01",
"state": "TX"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Lockhart Dialysis",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Lockhart Dialysis",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Lockhart, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 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.