Livary Dialysis LLC

Primary specialty

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

Legal business name

LIVARY DIALYSIS LLC

Practice address

16035 Lexington Blvd
Sugar Land, TX 77479-2316

Phone

(832) 783-9090

Fax

(888) 835-3621

NPI assigned

Apr 2, 2021

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

• Grants Lake Dialysis Doing business as

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Listed as

DaVita Grants Lake DialysisCCN 672798

Overall star rating

4.0 of 5

Ownership

Profit

Certified

Dec 7, 2016

Medicare certification status

ActiveFrom the Provider of Services file

Chain

DaVita

Dialysis stations

24

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.

• Renal Treatment Centers-Southeast, LP.

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Donna, TX
  • NPI 1902353543

  Member Of

  NPD member

Affiliated clinicians 4

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

• Humaira Khawaja Chaudhary, M.D.

  • Nephrology Physician
  • Sugar Land, TX
  • NPI 1912904996

  Dialysis facility

  Care Compare affiliation Name & address match
• Namrata Sharma Goel, M.D.

  • Nephrology Physician
  • Houston, TX
  • NPI 1497862247

  Dialysis facility

  Care Compare affiliation Name & address match
• Ritesh Anjani Mathur, M.D.

  • Nephrology Physician
  • Sugar Land, TX
  • NPI 1407802796

  Dialysis facility

  Care Compare affiliation Name & address match
• Vinitha Vellanki, MD

  • Internal Medicine Physician
  • Bay City, TX
  • NPI 1427256700

  Dialysis facility

  Care Compare affiliation Name & address match

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

{
    "created_epoch": "1617321600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1787270400000",
    "number": "1285213850",
    "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": "16035 LEXINGTON BLVD",
            "city": "SUGAR LAND",
            "state": "TX",
            "postal_code": "774792316",
            "telephone_number": "832-783-9090",
            "fax_number": "888-835-3621"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIVARY DIALYSIS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-04-02",
        "last_updated": "2026-08-21",
        "certification_date": "2026-08-21",
        "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": "432295001",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Grants Lake Dialysis",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Grants Lake Dialysis",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Little Flower Homehealth Inc
• Fayla A Little, LPC-A, CTRS
• Janice Little, DM
• Mark Alan Littman, D.D.S
• Kelly Corissa Litwinenko, MA, CCC-SLP
• Katherine Rarangol Livone, APRN- CNP
• Liza Jo Leal, M.D. P.a.
• LLW Consulting, Inc.
• LMB Wellness Services
• Elizabeth Ann Lobdell, RDH

• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Sugar Land, TX
• Providers in Sugar Land, 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 Aug 21, 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.