Active NPI
Routt Dialysis LLC
Doing business as Sparks Dialysis Center
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Sparks, NV
On this page
Key facts
NPPES NPI Registry- Primary specialty
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- License
- 498ESR
- Legal business name
- ROUTT DIALYSIS LLC
- Doing business as
- Sparks Dialysis Center
- Practice address
- 777 Vista Blvd
Sparks, NV 89434-6656 - Phone
- (775) 356-3978
- Fax
- (775) 356-3971
- NPI assigned
- Feb 24, 2009
- Last updated
- Dec 21, 2023
- Organization subpart
- No
NPPES NPI Registry
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
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| End-Stage Renal Disease (ESRD) Treatment Clinic/Center | 261QE0700X | 498ESR | NV | Primary |
Addresses
Primary practice location
777 Vista Blvd
Sparks, NV 89434-6656
Mailing address
5200 Virginia Way
Att: L&C Dept
Brentwood, TN 37027-7569
Phone (615) 341-6814
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629218185 | Medicaid | NV |
Other names 1
- Sparks Dialysis Center
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NV
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20090608000565 | NV | Part A Provider - End-Stage Renal Disease Facility (ESRD) | 8022168301 | Practice locations: Sparks, NV |
Other NPIs with the same Medicare PAC ID 4
NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).
-
dba South Meadow Dialysis Center
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Reno, NV
- NPI 1417197195
8022168301
-
dba Carson City Dialysis Center
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Carson City, NV
- NPI 1669612347
8022168301
-
dba Sierra Rose Dialysis Center
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Reno, NV
- NPI 1679713036
8022168301
-
dba Reno Dialysis Center
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Reno, NV
- NPI 1700026481
8022168301
Care Compare: Dialysis facility
Medicare Care Compare- Listed as
- DaVita Sparks Dialysis Center
- Overall star rating
- Ownership
- Profit
- Certified
- Jul 28, 1995
- Medicare certification status
- Active
- Chain
- DaVita
- Dialysis stations
- 21
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- Tax ID family
- Routt Dialysis LLC
Other organizations with this tax ID 6
Organizations that report the same tax identification number in the National Provider Directory.
-
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Reno, NV
- NPI 1598751257
-
dba Northern Sierra Dialysis Center at South Meadows
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Reno, NV
- NPI 1770686255
-
dba South Meadow Dialysis Center
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Reno, NV
- NPI 1417197195
-
dba Carson City Dialysis Center
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Carson City, NV
- NPI 1669612347
-
dba Sierra Rose Dialysis Center
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Reno, NV
- NPI 1679713036
-
dba Reno Dialysis Center
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Reno, NV
- NPI 1700026481
Member of 3
Organizations this organization is a member of, according to the National Provider Directory.
-
dba Boutique at Renown
- Durable Medical Equipment & Medical Supplies
- Reno, NV
- NPI 1467558668
Member Of
-
dba Parsons Dialysis Center
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Parsons, KS
- NPI 1982663902
Member Of
Locations
777 Vista Blvd
Ste 100
Sparks, NV 89434
4860 Vista Blvd
Ste 100
Sparks, NV 89436
Phone (775) 359-5432
Practitioners & affiliated clinicians
Affiliated clinicians 2
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": "1235433600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1703116800000",
"number": "1629218185",
"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",
"telephone_number": "615-341-6814",
"fax_number": "800-293-8405"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "777 VISTA BLVD",
"city": "SPARKS",
"state": "NV",
"postal_code": "894346656",
"telephone_number": "775-356-3978",
"fax_number": "775-356-3971"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ROUTT DIALYSIS LLC",
"organizational_subpart": "NO",
"enumeration_date": "2009-02-24",
"last_updated": "2023-12-21",
"certification_date": "2023-12-21",
"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": "NV",
"license": "498ESR",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1629218185",
"state": "NV"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Sparks Dialysis Center",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Sparks Dialysis Center",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Sparks, NV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 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.