Isd Renal Inc

Primary specialty

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

Legal business name

ISD RENAL INC

Doing business as

Riverside Renal Center

Practice address

3710 FM 1889
Robstown, TX 78380-5969

Phone

(361) 387-0289

Fax

(361) 387-0407

NPI assigned

May 25, 2006

Last updated

Jul 17, 2024By the provider in NPPES

Organization subpart

No

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

Addresses

Other names 1

• Riverside Renal Center Doing business as

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Listed as

DaVita Riverside Renal CenterCCN 452751

Overall star rating

3.0 of 5

Ownership

Profit

Certified

Feb 5, 1997

Medicare certification status

ActiveFrom the Provider of Services file

Chain

DaVita

Dialysis stations

17

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

CLIA laboratory certificates

Tax ID family

Isd Renal Inc88 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 8

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

• Isd Renal Inc

  dba Dialylsis Care of Greenville

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Greenville, TX
  • NPI 1194771675
  NPD tax ID
• Isd Renal Inc

  dba Edinburg Renal Center

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Edinburg, TX
  • NPI 1336194729
  NPD tax ID
• Isd Renal Inc

  dba Corpus Christi Dialysis

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Corpus Christi, TX
  • NPI 1477509487
  NPD tax ID
• Isd Renal Inc

  dba Beeville Renal Center

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Beeville, TX
  • NPI 1568418036
  NPD tax ID
• Isd Renal Inc

  dba Coastal Dialysis

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Corpus Christi, TX
  • NPI 1639125172
  NPD tax ID
• Isd Renal Inc

  dba Dialysis Care of McAllen

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • McAllen, TX
  • NPI 1649225038
  NPD tax ID
• Isd Renal Inc

  dba Morgan Avenue Dialysis

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Corpus Christi, TX
  • NPI 1861448276
  NPD tax ID
• Isd Renal Inc

  dba Weslaco Renal Center

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Weslaco, TX
  • NPI 1891740395
  NPD tax ID

Member of 1

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

• Dva Healthcare Renal Care Inc

  dba Charlotte Dialysis

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Charlotte, NC
  • NPI 1023077682

  Member Of

  NPD member

All facility ownership & control disclosures 3

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

Affiliated clinicians 6

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

• Jack Locardi Cortese, M.D.

  • Nephrology Physician
  • Corpus Christi, TX
  • NPI 1659374577

  Dialysis facility

  Care Compare affiliation Name & address match
• Shah Faizul Islam, M.D.

  • Nephrology Physician
  • Corpus Christi, TX
  • NPI 1841293727

  Dialysis facility

  Care Compare affiliation Name & address match
• Karim N Nooruddin, M.D.

  • Internal Medicine Physician
  • Aransas Pass, TX
  • NPI 1386647253

  Dialysis facility

  Care Compare affiliation Name & address match
• Geeta P Reddy, M.D.

  • Nephrology Physician
  • Corpus Christi, TX
  • NPI 1144223876

  Dialysis facility

  Care Compare affiliation Name & address match
• William Lee Shaffer, M.D.

  • Nephrology Physician
  • Corpus Christi, TX
  • NPI 1972506913

  Dialysis facility

  Care Compare affiliation Name & address match
• Fariba Zarinetchi, M.D.

  • Nephrology Physician
  • Corpus Christi, TX
  • NPI 1518960491

  Dialysis facility

  Care Compare affiliation Name & address match

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

{
    "created_epoch": "1148515200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1721174400000",
    "number": "1790731784",
    "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": "3710 FM 1889",
            "city": "ROBSTOWN",
            "state": "TX",
            "postal_code": "783805969",
            "telephone_number": "361-387-0289",
            "fax_number": "361-387-0407"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ISD RENAL INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-25",
        "last_updated": "2024-07-17",
        "certification_date": "2024-07-17",
        "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": "Riverside Renal Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Riverside Renal Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Ron Jeffrey Guevara, D.O.
• Ronald Holdorf, PA-C
• Jennifer Cecile Hole
• I&a Dental PLLC (Robstown Smiles)
• Integrityrx, LLC
• Donald Jackman, D.D.S.
• Jkpjj Healthcare Systems, Inc. (Caridad Adult Day Care Centers)
• Joe E. Saenz Jr (Saenz Medical Equipment and Supplies)
• Juan Sygal, M.D., P.a.
• Alexis King, PHARMD

• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Robstown, TX
• Providers in Robstown, 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 Jul 17, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• 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.