NPIMap

Organization Active NPI

Sakdc - Davita Dialysis Partners LP

Doing business as Judson Dialysis

  • 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
Doing business as
Judson Dialysis
Practice address
15619 Nacogdoches Rd
San Antonio, TX 78247-1159
Phone
(210) 653-9579
Fax
(210) 599-2136
NPI assigned
Dec 26, 2018
Last updated
Oct 27, 2025By the provider in NPPES
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 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.

  • Total Renal Care Inc

    dba Rice Lake Dialysis

    • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
    • Rice Lake, WI
    • NPI 1063172112

    Member Of

    NPD member

Locations

1369 S Main St
Ste 101
Boerne, TX 78006
Phone (830) 249-1491

208 Live Oak Way
Floresville, TX 78114
Phone (830) 581-9871

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

1211 E Commerce St
San Antonio, TX 78205
Phone (210) 224-1079

1313 SE Military Dr
Ste 111
San Antonio, TX 78214
Phone (210) 932-2434

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

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

615 E Quincy St
San Antonio, TX 78215
Phone (210) 222-1260

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

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

9846 Westover Hills Blvd
#103
San Antonio, TX 78251
Phone (210) 681-9180

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

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": [],
    "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.