Dorchester Dialysis, LLC

Primary specialty

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

Legal business name

DORCHESTER DIALYSIS, LLC

Doing business as

West Houston Home Dialysis

Practice address

1319 W Sam Houston Pkwy N
Ste 130
Houston, TX 77043-4010

Phone

(713) 465-0005

Fax

(713) 465-0028

NPI assigned

Jul 22, 2014

Last updated

Oct 20, 2023By 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 T Wey

Title

VP, Licensure & Certification

Phone

(615) 341-6641

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• West Houston Home Dialysis Doing business as

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Listed as

DaVita West Houston Home DialysisCCN 672787

Overall star rating

4.0 of 5

Ownership

Profit

Certified

Aug 30, 2016

Medicare certification status

ActiveFrom the Provider of Services file

Chain

DaVita

Dialysis stations

1

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.

  dba Barbour County Dialysis

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

  Member Of

  NPD member

Locations

Affiliated clinicians 5

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

• Adil R Ali, M.D.

  • Nephrology Physician
  • Houston, TX
  • NPI 1396062600

  Dialysis facility

  Care Compare affiliation Name & address match
• Syed A Hussain, MD

  • Nephrology Physician
  • Katy, TX
  • NPI 1619921988

  Dialysis facility

  Care Compare affiliation Name & address match
• Rana Hafeez Khan, M.D.

  • Nephrology Physician
  • Houston, TX
  • NPI 1336555390

  Dialysis facility

  Care Compare affiliation Name & address match
• Rahul Prakash, MD

  • Nephrology Physician
  • Katy, TX
  • NPI 1902846108

  Dialysis facility

  Care Compare affiliation Name & address match
• Ariel M Velasco, M.D.

  • Nephrology Physician
  • Houston, TX
  • NPI 1851361703

  Dialysis facility

  Care Compare affiliation Name & address match

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

{
    "created_epoch": "1405987200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1697760000000",
    "number": "1619384633",
    "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",
            "telephone_number": "615-320-4224",
            "fax_number": "800-293-4707"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1319 W SAM HOUSTON PKWY N",
            "address_2": "STE 130",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770434010",
            "telephone_number": "713-465-0005",
            "fax_number": "713-465-0028"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DORCHESTER DIALYSIS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-07-22",
        "last_updated": "2023-10-20",
        "certification_date": "2023-10-20",
        "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": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "368030801",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "West Houston Home Dialysis",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "West Houston Home Dialysis",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Iman Doostan, M.D, PH.D
• Jonathan J Dora, M.D.
• Dora's Paradise Personal Care Home, Inc (Paradise HCS)
• Trichinopoly Aiyasawmy Dorairajan, DDS
• Becky C Doran, M.D.
• Jordan James Dorchin
• Janice Dore, RPH
• Janet Stringer Doremus, MP
• Herbert Isaac Dorfan, M.D.
• Scott R. Dorfman, M.D.

• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Houston, TX
• Providers in Houston, 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 20, 2023; 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.