Isd Las Vegas LLC

Primary specialty

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

Legal business name

ISD LAS VEGAS LLC

Doing business as

Las Vegas Renal Center

Practice address

2333 Renaissance Dr
Las Vegas, NV 89119-6191

Phone

(702) 740-8580

Fax

(702) 740-8684

NPI assigned

Jul 25, 2007

Last updated

Apr 1, 2026By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Samuel Wey

Title

VP, Licensure & Certification

Phone

(615) 341-6641

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Las Vegas Renal Center Doing business as

Medicare fee-for-service enrollment

Enrolled in NV2 enrollments

Enrollment records 2

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

• Isd Las Vegas LLC

  dba Green Valley Dialysis

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Henderson, NV
  • NPI 1245430446

  9032202999

  Same PAC ID

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Isd Las Vegas LLC

  dba Green Valley Dialysis

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Henderson, NV
  • NPI 1245430446

  O20070908000019

  Same enrollment

Listed as

DaVita Las Vegas Renal CenterCCN 292507

Overall star rating

1.0 of 5

Ownership

Profit

Certified

Jul 16, 1997

Medicare certification status

ActiveFrom the Provider of Services file

Chain

DaVita

Dialysis stations

14

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 3

Organizations this organization is a member of, according to the National Provider Directory.

• Dva Healthcare Renal Care Inc

  dba Amelia Dialysis

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Amelia Court House, VA
  • NPI 1861456113

  Member Of

  NPD member
• Dva Renal Healthcare Inc

  dba Florissant Dialysis

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Saint Louis, MO
  • NPI 1740241454

  Member Of

  NPD member
• Isd Renal Inc

  dba Renal Care of Carthage

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Carthage, MS
  • NPI 1912952110

  Member Of

  NPD member

Affiliated clinicians 2

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

• Cristy Robertson, MD

  • Nephrology Physician
  • Las Vegas, NV
  • NPI 1598755514

  Dialysis facility

  Care Compare affiliation Name & address match
• Vivek Veerapaneni, MD

  • Nephrology Physician
  • Las Vegas, NV
  • NPI 1225215684

  Dialysis facility

  Care Compare affiliation Name & address match

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

{
    "created_epoch": "1185321600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1775001600000",
    "number": "1336349539",
    "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": "2333 RENAISSANCE DR",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891196191",
            "telephone_number": "702-740-8580",
            "fax_number": "702-740-8684"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ISD LAS VEGAS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-25",
        "last_updated": "2026-04-01",
        "certification_date": "2026-04-01",
        "status": "A",
        "authorized_official_last_name": "WEY",
        "authorized_official_first_name": "SAMUEL",
        "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": "1336349539",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Las Vegas Renal Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Las Vegas Renal Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Sheldon Isadore
• Tanya Isaharov
• Jeanette Isais
• Isb Enterprises LLC
• Becky Sue Isbel
• Isd Spring Valley LLC (Spring Valley Dialysis)
• Faith M Iseh
• Mfon Peter Iseh, MD
• Shirley Isenagle
• Molly Anne Isenberg

• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 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.