Active NPI
Bogachiel Dialysis LLC
Doing business as Del Norte Dialysis
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Albuquerque, NM
On this page
Key facts
NPPES NPI Registry- Primary specialty
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Legal business name
- BOGACHIEL DIALYSIS LLC
- Doing business as
- Del Norte Dialysis
- Practice address
- 5201 San Mateo Blvd NE
Albuquerque, NM 87109-2414 - Phone
- (505) 884-4820
- Fax
- (505) 888-9407
- NPI assigned
- Oct 28, 2015
- Last updated
- Jun 22, 2026
- 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
- Samuel 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
5201 San Mateo Blvd NE
Albuquerque, NM 87109-2414
Mailing address
5200 Virginia Way
L&C Dept
Brentwood, TN 37027-7569
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 14229765 | Medicaid | NM |
Other names 1
- Del Norte Dialysis
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NM
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20160216001786 | NM | Part A Provider - End-Stage Renal Disease Facility (ESRD) | 4880999606 | Practice locations: Albuquerque, NM |
Care Compare: Dialysis facility
Medicare Care Compare- Listed as
- DaVita Del Norte Dialysis
- Overall star rating
- Ownership
- Profit
- Certified
- Jul 18, 2016
- Medicare certification status
- Active
- Chain
- DaVita
- Dialysis stations
- 17
Name & address match This facility record has no NPI; it was connected to this NPI by matching name and address.
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 |
|---|---|---|---|
| 32D2106233 | Del Norte Dialysis | Certificate of waiver | Dec 14, 2027 |
National Provider Directory
National Provider DirectoryMember of 2
Organizations this organization is a member of, according to the National Provider Directory.
-
dba Sandia Peak Dialysis
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Albuquerque, NM
- NPI 1033634175
Member Of
-
dba Cerritos Dialysis
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Cerritos, CA
- NPI 1255681011
Member Of
Locations
5201 San Mateo Blvd NE
Albuquerque, NM 87109
Phone (505) 884-4820
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Nephrology Physician
- Albuquerque, NM
- NPI 1154482529
Affiliated clinicians 3
Clinicians who list this facility as an affiliation in Medicare Care Compare.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1445990400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1782086400000",
"number": "1386016541",
"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": "5201 SAN MATEO BLVD NE",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "871092414",
"telephone_number": "505-884-4820",
"fax_number": "505-888-9407"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BOGACHIEL DIALYSIS LLC",
"organizational_subpart": "NO",
"enumeration_date": "2015-10-28",
"last_updated": "2026-06-22",
"certification_date": "2026-06-22",
"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": "14229765",
"state": "NM"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Del Norte Dialysis",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Albuquerque, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 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.