North Austin Dialysis LLC

Primary specialty

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

Legal business name

NORTH AUSTIN DIALYSIS LLC

Practice address

1720 E Whitestone Blvd
Cedar Park, TX 78613-7640

Phone

(512) 528-8478

Fax

(512) 528-8504

NPI assigned

Aug 30, 2007

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

• Cedar Park Dialysis Center Doing business as

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Listed as

DaVita Cedar Park Dialysis CenterCCN 672591

Overall star rating

3.0 of 5

Ownership

Profit

Certified

Apr 1, 2008

Medicare certification status

ActiveFrom the Provider of Services file

Chain

DaVita

Dialysis stations

12

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.

• Bainbridge Dialysis LLC

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Fort Worth, TX
  • NPI 1699041152

  Member Of

  NPD member
• Renal Treatment Centers-Southeast, LP.

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

  Member Of

  NPD member
• Total Renal Care Inc

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Burlington, WA
  • NPI 1932595584

  Member Of

  NPD member

Locations

Affiliated clinicians 5

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

• Sarika S Deshmukh, M.D.

  • Nephrology Physician
  • Cedar Park, TX
  • NPI 1093984874

  Dialysis facility

  Care Compare affiliation Name & address match
• Peter B Hines, MD

  • Nephrology Physician
  • Cedar Park, TX
  • NPI 1932244506

  Dialysis facility

  Care Compare affiliation Name & address match
• Ting-CHI Lu, MD

  • Nephrology Physician
  • Austin, TX
  • NPI 1649378787

  Dialysis facility

  Care Compare affiliation Name & address match
• Allison Miller, MD

  • Nephrology Physician
  • Cedar Park, TX
  • NPI 1003379439

  Dialysis facility

  Care Compare affiliation Name & address match
• Javier Rodriguez-Sanchez, M.D.

  • Nephrology Physician
  • Cedar Park, TX
  • NPI 1326489758

  Dialysis facility

  Care Compare affiliation Name & address match

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

{
    "created_epoch": "1188432000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1779148800000",
    "number": "1376737577",
    "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": "1720 E WHITESTONE BLVD",
            "city": "CEDAR PARK",
            "state": "TX",
            "postal_code": "786137640",
            "telephone_number": "512-528-8478",
            "fax_number": "512-528-8504"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH AUSTIN DIALYSIS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-30",
        "last_updated": "2026-05-19",
        "certification_date": "2026-05-19",
        "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": "1929846-01",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Cedar Park Dialysis Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Cedar Park Dialysis Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Amy Nikitenko, PSYD
• Nluc PLLC
• Kelsey Nollette, RN
• Katelyn Jeannette Norcia, CRNA
• Darissa Cherie Nordmeyer, LSA
• North Austin Foot & Ankle Institute PLLC
• Northland Hearing Centers Inc
• Northwest Dental Associates P.a.
• Hermelinda Norwood, D.D,S.
• Nova Vita Wellness Centers- Westlake

• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Cedar Park, TX
• Providers in Cedar Park, 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 May 19, 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.