NPIMap

Organization Active NPI

Austin Dialysis Centers LP

Doing business as Waterloo Dialysis Center

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Austin, TX
National Provider Identifier
1780648360
Registry record updated Jun 8, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
End-Stage Renal Disease (ESRD) Treatment Clinic/CenterTaxonomy code 261QE0700X
License
008173 Issued in TX
Legal business name
AUSTIN DIALYSIS CENTERS LP
Doing business as
Waterloo Dialysis Center
Practice address
5310 Burnet Rd
Unit 122
Austin, TX 78756-2003
Phone
(512) 420-9403
Fax
(512) 420-9640
NPI assigned
Apr 12, 2006
Last updated
Jun 8, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 8, 2026

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

Authorized official

Name
Samuel Wey
Title
VP, Licensure & Certification
Phone
(615) 341-6641

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
End-Stage Renal Disease (ESRD) Treatment Clinic/Center 261QE0700X 008173 TX Primary

Addresses

Primary practice location

5310 Burnet Rd
Unit 122
Austin, TX 78756-2003

Mailing address

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

Other identifiers 1

IdentifierTypeStateIssuer
1778920-02MedicaidTX

Other names 1

  • Waterloo Dialysis Center Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050310000128 TX Part A Provider - End-Stage Renal Disease Facility (ESRD) 0244284495 Practice locations: Austin, TX

Other NPIs with the same Medicare PAC ID 3

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

Care Compare: Dialysis facility

Medicare Care Compare
Listed as
DaVita Waterloo Dialysis CenterCCN 452696
Overall star rating
4.0 of 5
Ownership
Profit
Certified
Jan 1, 1995
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
45D0716398Waterloo Dialysis Center5310 Burnet Rd, Unit 122, Austin, TX 78756Certificate of waiverAug 31, 2026

National Provider Directory

National Provider Directory
Tax ID family
Austin Dialysis Centers LP4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

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

Member of 1

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

  • Total Renal Care Inc

    dba TRC Children's Dialysis Center

    • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
    • Chicago, IL
    • NPI 1396704508

    Member Of

    NPD member

Locations

4200 N Lamar Blvd
Ste 100
Austin, TX 78756
Phone (512) 420-9403

5310 Burnet Rd
Ste 122
Austin, TX 78756
Phone (512) 420-9403

Practitioners & affiliated clinicians

Practitioners 1

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 5

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": "1144800000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1780876800000",
    "number": "1780648360",
    "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"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5310 BURNET RD",
            "address_2": "UNIT 122",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787562003",
            "telephone_number": "512-420-9403",
            "fax_number": "512-420-9640"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AUSTIN DIALYSIS CENTERS LP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-12",
        "last_updated": "2026-06-08",
        "certification_date": "2026-06-08",
        "status": "A",
        "authorized_official_last_name": "WEY",
        "authorized_official_first_name": "SAMUEL",
        "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": "TX",
            "license": "008173",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1778920-02",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Waterloo Dialysis Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Waterloo Dialysis Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Austin, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 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.