Fresenius Medical Care Vintage Park, LLC

Primary specialty

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

Legal business name

FRESENIUS MEDICAL CARE VINTAGE PARK, LLC

Doing business as

Fresenius Kidney Care Vintage Park

Practice address

102 Vintage Park Blvd Ste L
Houston, TX 77070-4080

Phone

(832) 604-8700

Fax

(832) 384-5895

NPI assigned

Oct 9, 2024

Organization subpart

Yes

Parent organization

FRESENIUS MEDICAL CARE HOLDINGS, INC.As reported in NPPES

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Denise Wright

Title

Vice President

Phone

(781) 676-5200

Specialties & licenses 1

Addresses

Other names 1

• Fresenius Kidney Care Vintage Park Doing business as

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Listed as

FKC Vintage ParkCCN 742737

Ownership

Profit

Certified

Apr 25, 2025

Medicare certification status

ActiveFrom the Provider of Services file

Chain

Fresenius Medical Care

Dialysis stations

18

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 2

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

• Bio-Medical Applications of Texas, Inc.

  dba Fresenius Medical Care Texas Avenue

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Webster, TX
  • NPI 1861942195

  Member Of

  NPD member
• National Medical Care, Inc.

  dba RCC Sebring

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Sebring, FL
  • NPI 1477665214

  Member Of

  NPD member

Locations

Affiliated clinicians 3

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

• Shujauddin Bhuriwala, MD

  • Nephrology Physician
  • Tomball, TX
  • NPI 1689636565

  Dialysis facility

  Care Compare affiliation Name & address match
• Faraz M Khan, MD

  • Nephrology Physician
  • Houston, TX
  • NPI 1770559957

  Dialysis facility

  Care Compare affiliation Name & address match
• Ghayyath Sultan, M.D

  • Nephrology Physician
  • Houston, TX
  • NPI 1780913996

  Dialysis facility

  Care Compare affiliation Name & address match

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

{
    "created_epoch": "1728432000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1788220800000",
    "number": "1730908344",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "102 VINTAGE PARK BLVD STE L",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770704080",
            "telephone_number": "832-604-8700",
            "fax_number": "832-384-5895"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "102 VINTAGE PARK BLVD STE L",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770704080",
            "telephone_number": "832-604-8700",
            "fax_number": "832-384-5895"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FRESENIUS MEDICAL CARE VINTAGE PARK, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "FRESENIUS MEDICAL CARE HOLDINGS, INC.",
        "enumeration_date": "2024-10-09",
        "last_updated": "2026-09-01",
        "certification_date": "2026-09-01",
        "status": "A",
        "authorized_official_last_name": "WRIGHT",
        "authorized_official_first_name": "DENISE",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "781-676-5200"
    },
    "taxonomies": [
        {
            "code": "261QE0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, End-Stage Renal Disease (ESRD) Treatment",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://esmd.officeally.io:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service",
            "affiliation": "Y",
            "endpointDescription": "2.16.840.1.113883.3.2019.3",
            "affiliationName": "Bluemark LLC / Office Ally",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "CMS esMD eMDR",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1300 SE Cardinal Ct Ste 190",
            "city": "Vancouver",
            "state": "WA",
            "country_code": "US",
            "postal_code": "986839683",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Fresenius Kidney Care Vintage Park",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Fresenius Medical Care Northeast Houston, LLC (Fresenius Medical Care North East Houston)
• Fresenius Medical Care Northshore Houston, LLC (Fresenius Kidney Care Northshore Houston)
• Fresenius Medical Care Northside Dialysis, LLC (Fresenius Kidney Care Northside Dialysis)
• Fresenius Medical Care South Houston, LLC (Fresenius Kidney Care Clutch City)
• Fresh and Flawless Staffing Services LLC
• Fresh Beginnings Life Changing Organization
• Fresh Beginnings Services, LLC
• Fresh Beginnings Services, LLC
• Fresh Clinics

• 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 Sep 1, 2026; 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.