Vancleer Dialysis LLC

Primary specialty

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

Legal business name

VANCLEER DIALYSIS LLC

Doing business as

Barker Cypress Dialysis

Practice address

18003 Longenbaugh Drive
Cypress, TX 77433-7196

Phone

(281) 856-6198

Fax

(281) 856-6224

NPI assigned

Jan 10, 2018

Last updated

May 16, 2024By 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

• Barker Cypress Dialysis Doing business as

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Listed as

DaVita Barker Cypress DialysisCCN 672896

Overall star rating

3.0 of 5

Ownership

Profit

Certified

Oct 25, 2018

Medicare certification status

ActiveFrom the Provider of Services file

Chain

DaVita

Dialysis stations

24

Member of 1

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

• Renal Treatment Centers-Southeast, LP.

  dba Barbour County Dialysis

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Eufaula, AL
  • NPI 1326583188

  Member Of

  NPD member

Locations

Affiliated clinicians 6

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

• Tsegaw Erko Egziti, M.D.

  • Nephrology Physician
  • Houston, TX
  • NPI 1982995213

  Dialysis facility

  Care Compare affiliation Name & address match
• Sheetal Patel Golla, M.D.

  • Nephrology Physician
  • Houston, TX
  • NPI 1235149600

  Dialysis facility

  Care Compare affiliation Name & address match
• Masood Mahmood, M.D

  • Nephrology Physician
  • Houston, TX
  • NPI 1205218054

  Dialysis facility

  Care Compare affiliation Name & address match
• Jonathan Daniel Pankow, MD

  • Nephrology Physician
  • Houston, TX
  • NPI 1962817783

  Dialysis facility

  Care Compare affiliation Name & address match
• Redentor Antonio Roy, M.D.

  • Nephrology Physician
  • Houston, TX
  • NPI 1982674883

  Dialysis facility

  Care Compare affiliation Name & address match
• Mukesh K Sinha, MD

  • Nephrology Physician
  • Cypress, TX
  • NPI 1679552897

  Dialysis facility

  Care Compare affiliation Name & address match

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

{
    "created_epoch": "1515542400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1715817600000",
    "number": "1508373606",
    "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": "18003 LONGENBAUGH DRIVE",
            "city": "CYPRESS",
            "state": "TX",
            "postal_code": "774337196",
            "telephone_number": "281-856-6198",
            "fax_number": "281-856-6224"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VANCLEER DIALYSIS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-01-10",
        "last_updated": "2024-05-16",
        "certification_date": "2024-05-16",
        "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": "3925380-01",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Barker Cypress Dialysis",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Valhalla Treatment and Recovery Center
• Gabriela Van Cleave
• Andrea Lee Van Sickle, MS CCC-SLP
• Erin Van Staveren, RDN, LDN
• Derricka Heaven Vance
• Brandon Vanos
• Andrew G Varady, MD
• Fernanda Varela
• Lesly Vargas
• Ida A Varghese, DDS

• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Cypress, TX
• Providers in Cypress, 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 16, 2024; 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.