NPIMap

Organization Active NPI

Sakdc - Davita Dialysis Partners LP

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • San Antonio, TX
National Provider Identifier
1730651100
Registry record updated Oct 27, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
End-Stage Renal Disease (ESRD) Treatment Clinic/CenterTaxonomy code 261QE0700X
Legal business name
SAKDC - DAVITA DIALYSIS PARTNERS LP
Practice address
15619 Nacogdoches Rd
San Antonio, TX 78247-1159
Phone
(210) 653-9579
Fax
(210) 599-2136
NPI assigned
Dec 26, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 27, 2025

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)CodeLicenseStatePrimary
End-Stage Renal Disease (ESRD) Treatment Clinic/Center 261QE0700X Primary

Addresses

Primary practice location

15619 Nacogdoches Rd
San Antonio, TX 78247-1159

Mailing address

5200 Virginia Way
L&C Department
Brentwood, TN 37027-7569

Other identifiers 1

IdentifierTypeStateIssuer
4046856-02MedicaidTX

Other names 1

  • Judson Dialysis Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20190919001497 TX Part A Provider - End-Stage Renal Disease Facility (ESRD) 0345286365 Practice locations: San Antonio, TX

Other NPIs with the same Medicare PAC ID 15

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

View all 15

Care Compare: Dialysis facility

Medicare Care Compare
Listed as
DaVita Judson DialysisCCN 742553
Overall star rating
3.0 of 5
Ownership
Profit
Certified
Oct 11, 2019
Medicare certification status
ActiveFrom the Provider of Services file
Chain
DaVita
Dialysis stations
24

Name & address match This facility record has no NPI; it was connected to this NPI by matching name and address.

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
45D2161246Judson Dialysis15619 Nacogdoches Road, San Antonio, TX 78247Certificate of waiverJan 28, 2027

National Provider Directory

National Provider Directory
Tax ID family
Sakdc - Davita Dialysis Partners LP17 organizations share this tax ID, including this one

Other organizations with this tax ID 16

Organizations that report the same tax identification number in the National Provider Directory.

View all 16

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Locations

6700 Randolph Blvd
Ste 101
Live Oak, TX 78233
Phone (210) 590-0103

900 Loop 337
New Braunfels, TX 78130
Phone (830) 515-1280

798 Generations Dr
New Braunfels, TX 78130
Phone (830) 629-2848

15619 Nacogdoches Rd
San Antonio, TX 78247
Phone (210) 653-9579

4602 E Southcross Blvd
San Antonio, TX 78222
Phone (210) 648-5988

1123 N Main Ave
San Antonio, TX 78212
Phone (210) 261-3100

2391 NE Loop 410
Ste 211
San Antonio, TX 78217
Phone (210) 646-8788

8132 Fredericksburg Rd
San Antonio, TX 78229
Phone (210) 692-7717

5284 Medical Dr
Ste 100
San Antonio, TX 78229
Phone (210) 616-9699

731 Carnoustie Dr
Ste 210
San Antonio, TX 78258
Phone (210) 403-2162

803 Castroville Rd
Ste 415
San Antonio, TX 78237
Phone (210) 438-9290

731 Carnoustie Dr
Ste 101
San Antonio, TX 78258
Phone (210) 403-2162

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

Affiliated clinicians 3

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": "1545782400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1761523200000",
    "number": "1730651100",
    "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": "15619 NACOGDOCHES RD",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782471159",
            "telephone_number": "210-653-9579",
            "fax_number": "210-599-2136"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAKDC - DAVITA DIALYSIS PARTNERS LP",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-12-26",
        "last_updated": "2025-10-27",
        "certification_date": "2025-10-27",
        "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": "4046856-02",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Judson Dialysis",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Judson Dialysis",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in San Antonio, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 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.