Five Star Dialysis LLC

Primary specialty

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

Legal business name

FIVE STAR DIALYSIS LLC

Doing business as

Five Star Dialysis Center

Practice address

2400 Tech Center CT
Las Vegas, NV 89128-0804

Phone

(702) 869-3771

Fax

(702) 869-6366

NPI assigned

Feb 27, 2008

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

• Five Star Dialysis Center Doing business as

Medicare fee-for-service enrollment

Enrolled in NV

Enrollment records 1

Listed as

DaVita Five Star Dialysis CenterCCN 292538

Overall star rating

2.0 of 5

Ownership

Profit

Certified

Apr 23, 2009

Medicare certification status

ActiveFrom the Provider of Services file

Chain

DaVita

Dialysis stations

28

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

  dba Cascade Dialysis

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Burlington, WA
  • NPI 1932595584

  Member Of

  NPD member

Locations

Affiliated clinicians 7

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

• Hay Cheam, M.D.

  • Pediatric Nephrology Physician
  • Las Vegas, NV
  • NPI 1295999514

  Dialysis facility

  Care Compare affiliation Name & address match
• Aman Gupta

  • Internal Medicine Physician
  • Las Vegas, NV
  • NPI 1801322052

  Dialysis facility

  Care Compare affiliation Name & address match
• Bindu Khanna, MD

  • Nephrology Physician
  • Las Vegas, NV
  • NPI 1538109095

  Dialysis facility

  Care Compare affiliation Name & address match
• Angelie Azuncion Manaloto Santos

  • Nephrology Physician
  • Las Vegas, NV
  • NPI 1356838601

  Dialysis facility

  Care Compare affiliation Name & address match
• Chidi Okafor, MD

  • Nephrology Physician
  • Las Vegas, NV
  • NPI 1063656585

  Dialysis facility

  Care Compare affiliation Name & address match
• Cristy Robertson, MD

  • Nephrology Physician
  • Las Vegas, NV
  • NPI 1598755514

  Dialysis facility

  Care Compare affiliation Name & address match
• Mark Vishnepolsky, M.D.

  • Nephrology Physician
  • Las Vegas, NV
  • NPI 1699707463

  Dialysis facility

  Care Compare affiliation Name & address match

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

{
    "created_epoch": "1204070400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1751414400000",
    "number": "1598934226",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5200 VIRGINIA WAY",
            "address_2": "ATT: 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": "2400 TECH CENTER CT",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891280804",
            "telephone_number": "702-869-3771",
            "fax_number": "702-869-6366"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FIVE STAR DIALYSIS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-27",
        "last_updated": "2025-07-02",
        "certification_date": "2025-06-17",
        "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": "1598934226",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Five Star Dialysis Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Five Star Dialysis Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Shawn Brandon Fitzpatrick, OD
• Jessica P Fitzsimmons, RN
• Mark Fitzsimmons
• Leieann Fitzwater
• Five Sands Treatment System LLC
• Five Star Healthcare LLC
• Five Star Home Care Services Inc. (Five Star Home Care Services)
• Five Star Home Care Services Inc.
• Five Star Home Care Services Inc.
• Five Star Reliable Transportation, LLC

• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 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.