Active NPI
Summit Dialysis Center LP
Doing business as Summit Dialysis Center
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Houston, TX
National Provider Identifier
1356389308
On this page
Key facts
NPPES NPI Registry- Primary specialty
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- License
- 008274
- Legal business name
- SUMMIT DIALYSIS CENTER LP
- Doing business as
- Summit Dialysis Center
- Practice address
- 3150 Polk St
Houston, TX 77003-4631 - Phone
- (713) 228-3500
- Fax
- (713) 228-2136
- NPI assigned
- Jun 3, 2006
- 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
- John Winstel
- Title
- Chief Accounting Officer
- Phone
- (253) 733-4501
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| End-Stage Renal Disease (ESRD) Treatment Clinic/Center | 261QE0700X | 008274 | TX | Primary |
Addresses
Primary practice location
3150 Polk St
Houston, TX 77003-4631
Mailing address
5200 Virginia Way
L&C Dept
Brentwood, TN 37027-7569
Phone (615) 341-6764
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 181652202 | Medicaid | TX |
Other names 1
- Summit Dialysis Center
National Provider Directory
National Provider DirectoryMember of 2
Organizations this organization is a member of, according to the National Provider Directory.
-
dba Red Hawk Dialysis
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Castle Rock, CO
- NPI 1386928430
Member Of
-
dba Cascade Dialysis
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Burlington, WA
- NPI 1932595584
Member Of
Locations
3150 Polk St
Houston, TX 77003
Phone (713) 228-3500
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149292800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1631577600000",
"number": "1356389308",
"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",
"telephone_number": "615-341-6764",
"fax_number": "833-781-6999"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3150 POLK ST",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770034631",
"telephone_number": "713-228-3500",
"fax_number": "713-228-2136"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SUMMIT DIALYSIS CENTER LP",
"organizational_subpart": "NO",
"enumeration_date": "2006-06-03",
"last_updated": "2021-09-14",
"certification_date": "2021-09-14",
"status": "A",
"authorized_official_last_name": "WINSTEL",
"authorized_official_first_name": "JOHN",
"authorized_official_title_or_position": "CHIEF ACCOUNTING OFFICER",
"authorized_official_telephone_number": "253-733-4501"
},
"taxonomies": [
{
"code": "261QE0700X",
"taxonomy_group": "",
"desc": "Clinic/Center, End-Stage Renal Disease (ESRD) Treatment",
"state": "TX",
"license": "008274",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "181652202",
"state": "TX"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Summit Dialysis Center",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Summit Dialysis Center",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Houston, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.