Active NPI
Plumeria Dialysis LLC
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Pearland, TX
National Provider Identifier
1154294718
On this page
Key facts
NPPES NPI Registry- Primary specialty
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Legal business name
- PLUMERIA DIALYSIS LLC
- Practice address
- 9223 Broadway St Ste 109
Pearland, TX 77584-9759 - Phone
- (281) 400-4337
- Fax
- (281) 400-4369
- NPI assigned
- Sep 29, 2025
- 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
- Samual 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
9223 Broadway St Ste 109
Pearland, TX 77584-9759
Mailing address
5200 Virginia Way
Brentwood, TN 37027-7569
Phone (615) 554-0594
Other names 1
- Sunrise Lake Dialysis
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 |
|---|---|---|---|
| 45D2337226 | Sunrise Lake Dialysis | Certificate of waiver | Jan 19, 2028 |
National Provider Directory
National Provider DirectoryMember of 1
Organizations this organization is a member of, according to the National Provider Directory.
-
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Donna, TX
- NPI 1902353543
Member Of
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1759104000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1777593600000",
"number": "1154294718",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5200 VIRGINIA WAY",
"city": "BRENTWOOD",
"state": "TN",
"postal_code": "370277569",
"telephone_number": "615-554-0594"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9223 BROADWAY ST STE 109",
"city": "PEARLAND",
"state": "TX",
"postal_code": "775849759",
"telephone_number": "281-400-4337",
"fax_number": "281-400-4369"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PLUMERIA DIALYSIS LLC",
"organizational_subpart": "NO",
"enumeration_date": "2025-09-29",
"last_updated": "2026-05-01",
"certification_date": "2026-05-01",
"status": "A",
"authorized_official_last_name": "WEY",
"authorized_official_first_name": "SAMUAL",
"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": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Sunrise Lake Dialysis",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Pearland, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- 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.