Shelby Dialysis LLC

Primary specialty

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

Legal business name

SHELBY DIALYSIS LLC

Doing business as

Cloverleaf Dialysis

Practice address

13525 East Fwy
Ste a
Houston, TX 77015-5902

Phone

(713) 450-0874

Fax

(713) 451-5377

NPI assigned

Jun 16, 2014

Last updated

Oct 15, 2025By 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 T Wey

Title

VP, Licensure & Certification

Phone

(615) 341-6641

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Cloverleaf Dialysis Doing business as

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

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.

  dba Hot Springs Dialysis

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Hot Springs, AR
  • NPI 1881938207

  Member Of

  NPD member

Locations

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

{
    "created_epoch": "1402876800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1760486400000",
    "number": "1407260789",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5200 VIRGINIA WAY",
            "address_2": "L&C DEPARTMENT",
            "city": "BRENTWOOD",
            "state": "TN",
            "postal_code": "370277569"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13525 EAST FWY",
            "address_2": "STE A",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770155902",
            "telephone_number": "713-450-0874",
            "fax_number": "713-451-5377"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHELBY DIALYSIS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-06-16",
        "last_updated": "2025-10-15",
        "certification_date": "2025-10-15",
        "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": "361003201",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Cloverleaf Dialysis",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Cloverleaf Dialysis",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Shekinah Hospice LLC
• Olawale Shekoni
• Julia T Shelburne, M.D.
• Samuel Shelburne, MD
• Shelby Debnam Vision (Heights Vision Specialists)
• Amelia Ruth-Desiret Shelby-Nwokeji, M.D.
• Nicole Elizabeth Shelby, LMT
• Sheldon Extracare Family Practice
• Sheldon Isd
• Sheldon Rubenfeld MD

• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Houston, TX
• Providers in Houston, 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 Oct 15, 2025; 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.