Leasburg Dialysis LLC

Primary specialty

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

Legal business name

LEASBURG DIALYSIS LLC

Practice address

12855 N 40 Dr
Suite LL4
Saint Louis, MO 63141-8657

Phone

(314) 542-0049

Fax

(314) 542-0057

NPI assigned

May 24, 2011

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

• Town and Country West Dialysis Doing business as

Medicare fee-for-service enrollment

Enrolled in MO

Enrollment records 1

Listed as

DaVita Town and Country West DialysisCCN 262648

Overall star rating

3.0 of 5

Ownership

Profit

Certified

Jan 31, 2012

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 1

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

• Total Renal Care Inc

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Castle Rock, CO
  • NPI 1386928430

  Member Of

  NPD member

Affiliated clinicians 7

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

• Qing Chen, MD

  • Nephrology Physician
  • Saint Louis, MO
  • NPI 1164494530

  Dialysis facility

  Care Compare affiliation Name & address match
• Derek Sloan Larson, M.D.

  • Nephrology Physician
  • Creve Coeur, MO
  • NPI 1588820096

  Dialysis facility

  Care Compare affiliation Name & address match
• Graeme Mindel, M.D.

  • Nephrology Physician
  • Creve Coeur, MO
  • NPI 1932196854

  Dialysis facility

  Care Compare affiliation Name & address match
• Tricia V Pavlopoulos, MD

  • Nephrology Physician
  • Saint Louis, MO
  • NPI 1932171220

  Dialysis facility

  Care Compare affiliation Name & address match
• Nathaniel Cantey Reisinger, MD

  • Nephrology Physician
  • Creve Coeur, MO
  • NPI 1881960938

  Dialysis facility

  Care Compare affiliation Name & address match
• Marcos Rothstein, MD

  • Nephrology Physician
  • Saint Louis, MO
  • NPI 1285650507

  Dialysis facility

  Care Compare affiliation Name & address match
• Jay R Seltzer, MD

  • Nephrology Physician
  • Creve Coeur, MO
  • NPI 1568433902

  Dialysis facility

  Care Compare affiliation Name & address match

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

{
    "created_epoch": "1306195200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1742428800000",
    "number": "1508159666",
    "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": "12855 N 40 DR",
            "address_2": "SUITE LL4",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631418657",
            "telephone_number": "314-542-0049",
            "fax_number": "314-542-0057"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEASBURG DIALYSIS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-05-24",
        "last_updated": "2025-03-20",
        "certification_date": "2025-03-20",
        "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": "1508159666",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Town and Country West Dialysis",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Town and Country West Dialysis",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• David Michael Leander, MD
• Learning Consultants, Inc.
• Ben Leary, MA
• Daniel J Leary Jr., M.D.
• Jennifer Leary
• Thomas Lease, DDS, MSD
• Ann M Leathersich, M.D.
• Diane Leavitt
• Angela Leazer
• Rhonda M Lebbing, RN, ANP-BC

• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Saint Louis, MO
• Providers in Saint Louis, MO by specialty
• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 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.