Renal Center of Carrollton, LP, LLLP

Primary specialty

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

License

008083 Issued in TX

Legal business name

RENAL CENTER OF CARROLLTON, LP, LLLP

Practice address

4240 International Pkwy Ste 158
Carrollton, TX 75007-1974

Phone

(972) 306-8410

Fax

(972) 306-8109

NPI assigned

Jul 12, 2006

Organization subpart

No

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

Addresses

Other identifiers 1

Other names 1

• RENAL CENTER OF CARROLLTON Doing business as

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Listed as

DaVita Renal Center of CarrolltonCCN 452887

Overall star rating

3.0 of 5

Ownership

Profit

Certified

Aug 3, 2004

Medicare certification status

ActiveFrom the Provider of Services file

Chain

DaVita

Dialysis stations

20

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 1

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

• Renal Treatment Centers Northeast Inc

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Lehighton, PA
  • NPI 1598727372

  Member Of

  NPD member

Locations

Practitioners 1

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

• George A Rojas, DO

  • Internal Medicine Physician
  • Denton, TX
  • NPI 1427039403
  NPD (past)

Affiliated clinicians 5

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

• Deeba Nohi Ali, M.D.

  • Nephrology Physician
  • Plano, TX
  • NPI 1750590691

  Dialysis facility

  Care Compare affiliation Name & address match
• Jun Chen, MD

  • Nephrology Physician
  • Plano, TX
  • NPI 1477583763

  Dialysis facility

  Care Compare affiliation Name & address match
• Anjana S. Jagalur, M.D.

  • Nephrology Physician
  • Lewisville, TX
  • NPI 1720122096

  Dialysis facility

  Care Compare affiliation Name & address match
• Venkata Kishore Reddy Mukku, M.D

  • Nephrology Physician
  • Plano, TX
  • NPI 1952764268

  Dialysis facility

  Care Compare affiliation Name & address match
• Hector Reyes, M.D.

  • Nephrology Physician
  • Carrollton, TX
  • NPI 1477509222

  Dialysis facility

  Care Compare affiliation Name & address match

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

{
    "created_epoch": "1152662400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1736467200000",
    "number": "1790700839",
    "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": "4240 INTERNATIONAL PKWY STE 158",
            "city": "CARROLLTON",
            "state": "TX",
            "postal_code": "750071974",
            "telephone_number": "972-306-8410",
            "fax_number": "972-306-8109"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RENAL CENTER OF CARROLLTON, LP, LLLP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-12",
        "last_updated": "2025-01-10",
        "certification_date": "2025-01-10",
        "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": "008083",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "166811302",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "RENAL CENTER OF CARROLLTON",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Reliant Care LLC
• Reliant Plus Health Care Services Inc
• Remarkable Healthcare of Carrollton, LP
• Remington Heritage Inc
• Alisha Remtulla
• Renal Treatment Centers-Southeast, LP.
• Steven Christopher Renas, DMD
• Shannon L Rene, R.D.,L.D.
• Dhanya Renjith, CRNA
• Renovar Wellcare PLLC

• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Carrollton, TX
• Providers in Carrollton, 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 Jan 10, 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.