Elmore Dialysis LLC

Primary specialty

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

Legal business name

ELMORE DIALYSIS LLC

Practice address

241 N Preston Rd
Ste a
Prosper, TX 75078-9896

Phone

(972) 347-9268

Fax

(972) 347-9863

NPI assigned

Jan 10, 2019

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

• Prosper Dialysis Doing business as

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Listed as

DaVita Prosper DialysisCCN 742559

Overall star rating

4.0 of 5

Ownership

Profit

Certified

Dec 30, 2019

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

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• Renal Treatment Centers-Southeast, LP.

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

  Member Of

  NPD member

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Essam F Elsayed, M.D.

  • Nephrology Physician
  • McKinney, TX
  • NPI 1013998087
  NPD (past)

Affiliated clinicians 3

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

• Venkata Kishore Reddy Mukku, M.D

  • Nephrology Physician
  • Plano, TX
  • NPI 1952764268

  Dialysis facility

  Care Compare affiliation Name & address match
• Samitha Reddy, MD

  • Nephrology Physician
  • McKinney, TX
  • NPI 1720224249

  Dialysis facility

  Care Compare affiliation Name & address match
• Swapna Katipally, M.D.

  • Nephrology Physician
  • Muncie, IN
  • NPI 1487098141

  Dialysis facility

  Care Compare affiliation Name & address match

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

{
    "created_epoch": "1547078400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1746662400000",
    "number": "1477026615",
    "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": "241 N PRESTON RD",
            "address_2": "STE A",
            "city": "PROSPER",
            "state": "TX",
            "postal_code": "750789896",
            "telephone_number": "972-347-9268",
            "fax_number": "972-347-9863"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELMORE DIALYSIS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-01-10",
        "last_updated": "2025-05-08",
        "certification_date": "2025-05-08",
        "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": "4091936-01",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Prosper Dialysis",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Prosper Dialysis",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Shivani Elluri, PT
• Emergent Surgical Solutions PLLC
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• Encompass Health Rehabilitation Hospital of Prosper, LLC
• Eric M Silvers, DPM, PA
• Maya Taxell Ermeus

• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Prosper, TX
• Providers in Prosper, 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 8, 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.