Organization Active NPI

Sugarland Dialysis II Management, LLC

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Sugar Land, TX
National Provider Identifier
1558382176
Registry record updated Dec 26, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
End-Stage Renal Disease (ESRD) Treatment Clinic/CenterTaxonomy code 261QE0700X
License
007986 Issued in TX
Legal business name
SUGARLAND DIALYSIS II MANAGEMENT, LLC
Practice address
13855 Southwest Fwy
Sugar Land, TX 77478-3533
Phone
(281) 240-5095
NPI assigned
Jul 21, 2006
Last updated
Dec 26, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 26, 2019

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Marion Wilson, RN
Title
Administrator
Phone
(281) 240-5095

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
End-Stage Renal Disease (ESRD) Treatment Clinic/Center 261QE0700X 007986 TX Primary

Addresses

Primary practice location

13855 Southwest Fwy
Sugar Land, TX 77478-3533

Mailing address

13855 Southwest Fwy
Sugar Land, TX 77478-3533
Phone (281) 240-5095

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20030912000026 TX Part A Provider - End-Stage Renal Disease Facility (ESRD) 1254242423 Practice locations: Sugar Land, TX

Care Compare: Dialysis facility

Medicare Care Compare
Listed as
Sugarland DialysisCCN 452869
Overall star rating
1.0 of 5
Ownership
Profit
Certified
Oct 16, 2003
Medicare certification status
ActiveFrom the Provider of Services file
Dialysis stations
24

Name & address match This facility record has no NPI; it was connected to this NPI by matching name and address.

National Provider Directory

National Provider Directory

Locations

13855 Southwest Fwy
Sugar Land, TX 77478
Phone (281) 240-5095

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

Affiliated clinicians 3

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

NPI Registry JSON

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

{
    "created_epoch": "1153440000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1577318400000",
    "number": "1558382176",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13855 SOUTHWEST FWY",
            "city": "SUGAR LAND",
            "state": "TX",
            "postal_code": "774783533",
            "telephone_number": "281-240-5095"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13855 SOUTHWEST FWY",
            "city": "SUGAR LAND",
            "state": "TX",
            "postal_code": "774783533",
            "telephone_number": "281-240-5095"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUGARLAND DIALYSIS II MANAGEMENT, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-21",
        "last_updated": "2019-12-26",
        "certification_date": "2019-12-26",
        "status": "A",
        "authorized_official_last_name": "WILSON",
        "authorized_official_first_name": "MARION",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "281-240-5095",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "261QE0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, End-Stage Renal Disease (ESRD) Treatment",
            "state": "TX",
            "license": "007986",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sugar Land, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 26, 2019; 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.