Madison Dialysis LLC

Primary specialty

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

Legal business name

MADISON DIALYSIS LLC

Doing business as

Balcones Dialysis

Practice address

11150 Research Blvd Ste 201
Austin, TX 78759-5242

Phone

(512) 342-1097

Fax

(512) 342-1967

NPI assigned

Apr 20, 2015

Organization subpart

No

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

Authorized official

Name

Samuel T Wey

Title

VP Licensure&Certification

Phone

(615) 341-6641

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Balcones Dialysis Doing business as

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Listed as

DaVita Balcones DialysisCCN 672824

Overall star rating

4.0 of 5

Ownership

Profit

Certified

Sep 8, 2017

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.

• Renal Treatment Centers-Southeast, LP.

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Sherman, TX
  • NPI 1316901036

  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, and the practitioner matching its NPPES authorized official.

• Nicholas James Rowder, MD

  • Nephrology Physician
  • Austin, TX
  • NPI 1942230164
  NPD (past)

Affiliated clinicians 2

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

• Yasser A Nasser, M.D.

  • Nephrology Physician
  • Austin, TX
  • NPI 1760413629

  Dialysis facility

  Care Compare affiliation Name & address match
• William A Rodriguez, MD

  • Nephrology Physician
  • Austin, TX
  • NPI 1821028093

  Dialysis facility

  Care Compare affiliation Name & address match

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

{
    "created_epoch": "1429488000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1727827200000",
    "number": "1588051338",
    "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": "11150 RESEARCH BLVD STE 201",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787595242",
            "telephone_number": "512-342-1097",
            "fax_number": "512-342-1967"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MADISON DIALYSIS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-04-20",
        "last_updated": "2024-10-02",
        "certification_date": "2024-10-02",
        "status": "A",
        "authorized_official_last_name": "WEY",
        "authorized_official_first_name": "SAMUEL",
        "authorized_official_middle_name": "T",
        "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": "3840829-01",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Balcones Dialysis",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Balcones Dialysis",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Sandra Denisse Madewell, M.D.
• Devika Madhavan, MD
• Vipul Madhwani, MBBS
• Mahmoud Yousef Said Madi, M.D.
• Ann Madigan, OT
• Nichole R Madison, DDS
• Carissa Madrid, FNP
• Destiny Madrid
• Vanessa Madrid, PMHNP-BC
• Daisy Annette Madrigal

• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Austin, TX
• Providers in Austin, 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 Oct 2, 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.