Renal Center of Lewisville, LLC

Primary specialty

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

License

008002 Issued in TX

Legal business name

RENAL CENTER OF LEWISVILLE, LLC

Practice address

1600 Waters Ridge Dr
Ste B
Lewisville, TX 75057-6039

Phone

(972) 436-7211

Fax

(972) 436-4138

NPI assigned

Mar 6, 2007

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

• Renal Center of Lewisville Doing business as

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Listed as

Renal Center of LewisvilleCCN 452648

Overall star rating

2.0 of 5

Ownership

Profit

Certified

Dec 10, 1992

Medicare certification status

ActiveFrom the Provider of Services file

Chain

DaVita

Dialysis stations

30

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 Northeast Inc

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Lehighton, PA
  • NPI 1598727372

  Member Of

  NPD member

Locations

Affiliated clinicians 4

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

• Suman Bireddy, M.D.

  • Nephrology Physician
  • Arlington, TX
  • NPI 1093765299

  Dialysis facility

  Care Compare affiliation Name & address match
• Victor Alejandro Canela Samaniego, DO

  • Nephrology Physician
  • Denton, TX
  • NPI 1902394513

  Dialysis facility

  Care Compare affiliation Name & address match
• Anjana S. Jagalur, M.D.

  • Nephrology Physician
  • Lewisville, TX
  • NPI 1720122096

  Dialysis facility

  Care Compare affiliation Name & address match
• Usha N Peri, MD

  • Nephrology Physician
  • Lewisville, TX
  • NPI 1033100375

  Dialysis facility

  Care Compare affiliation Name & address match

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

{
    "created_epoch": "1173139200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1741910400000",
    "number": "1598895906",
    "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": "1600 WATERS RIDGE DR",
            "address_2": "STE B",
            "city": "LEWISVILLE",
            "state": "TX",
            "postal_code": "750576039",
            "telephone_number": "972-436-7211",
            "fax_number": "972-436-4138"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RENAL CENTER OF LEWISVILLE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-06",
        "last_updated": "2025-03-14",
        "certification_date": "2025-03-14",
        "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": "TX",
            "license": "008002",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1900417",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Renal Center of Lewisville",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Regina Coss DC
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• Danielle Reid
• Brandi M. Cavener Reinhardt, MA, LPC
• Allison Cristina Remy, PA-C
• Scott R. Rennie, DO
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• April Rexwinkle, P.T.

• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Lewisville, TX
• Providers in Lewisville, 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 Mar 14, 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.