Isd Renal Inc

Primary specialty

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

Legal business name

ISD RENAL INC

Doing business as

Renal Care of Memphis North

Practice address

4913 Raleigh Common Dr
Ste 100
Memphis, TN 38128-2485

Phone

(901) 937-0650

Fax

(901) 385-0740

NPI assigned

May 25, 2006

Last updated

Dec 19, 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 Wey

Title

VP Licensure & Certification

Phone

(615) 341-6641

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Renal Care of Memphis North Doing business as

Medicare fee-for-service enrollment

Enrolled in TN

Enrollment records 1

Listed as

DaVita Renal Care of Memphis NorthCCN 442640

Overall star rating

3.0 of 5

Ownership

Profit

Certified

Dec 6, 2001

Medicare certification status

ActiveFrom the Provider of Services file

Chain

DaVita

Dialysis stations

17

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Tax ID family

Renal Care of Marion88 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 11

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

• Isd Renal Inc

  dba Foreman Drive Home Training

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Cookeville, TN
  • NPI 1003390469
  NPD tax ID
• Isd Renal Inc

  dba Wolfchase Dialysis

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Memphis, TN
  • NPI 1184586919
  NPD tax ID
• Isd Renal Inc

  dba Poplar Avenue Dialysis

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Memphis, TN
  • NPI 1346102001
  NPD tax ID
• Isd Renal Inc

  dba Pace Road Dialysis

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Memphis, TN
  • NPI 1386506145
  NPD tax ID
• Isd Renal Inc

  dba Whitehaven Renal Center

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Memphis, TN
  • NPI 1457307936
  NPD tax ID
• Isd Renal Inc

  dba Lewis Creek Dialysis

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Dyersburg, TN
  • NPI 1619459682
  NPD tax ID
• Isd Renal Inc

  dba Renal Care of Midtown Memphis

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Memphis, TN
  • NPI 1649217738
  NPD tax ID
• Isd Renal Inc

  dba Chickasaw Gardens Dialysis

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Memphis, TN
  • NPI 1659233492
  NPD tax ID
• Isd Renal Inc

  dba Quince Road Dialysis

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Memphis, TN
  • NPI 1700748555
  NPD tax ID
• Isd Renal Inc

  dba Neely Road Dialysis

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Memphis, TN
  • NPI 1841152600
  NPD tax ID
• Isd Renal, Inc

  dba Mt. Juliet Dialysis

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Mount Juliet, TN
  • NPI 1023461894
  NPD tax ID

Member of 2

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

All facility ownership & control disclosures 3

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

Affiliated clinicians 1

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

• Nawar E Mansour, M.D.

  • Specialist
  • Memphis, TN
  • NPI 1720077589

  Dialysis facility

  Care Compare affiliation Name & address match

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

{
    "created_epoch": "1148515200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1766102400000",
    "number": "1447206172",
    "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": "4913 RALEIGH COMMON DR",
            "address_2": "STE 100",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381282485",
            "telephone_number": "901-937-0650",
            "fax_number": "901-385-0740"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ISD RENAL INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-25",
        "last_updated": "2025-12-19",
        "certification_date": "2025-12-19",
        "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": "Q017715",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Renal Care of Memphis North",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Renal Care of Memphis North",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jessica Sarah Isbell-Blane, B.A.
• Isd Bartlett LLC (Bartlett Renal Center)
• Isd Renal Inc (Wolfchase Dialysis)
• Isd Renal Inc (Poplar Avenue Dialysis)
• Isd Renal Inc (Pace Road Dialysis)
• Isd Renal Inc (Whitehaven Renal Center)
• Isd Renal Inc (Memphis Graceland Renal Center)
• Isd Renal Inc (Renal Care of Midtown Memphis)
• Isd Renal Inc (Chickasaw Gardens Dialysis)
• Isd Renal Inc (Renal Care of Central Memphis)

• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Memphis, TN
• Providers in Memphis, TN by specialty
• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• 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.