Southcrest Dialysis LLC

Primary specialty

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

Legal business name

SOUTHCREST DIALYSIS LLC

Doing business as

Southcrest Dialysis

Practice address

10921 E 81St St
Tulsa, OK 74133-4227

Phone

(918) 249-8402

Fax

(918) 459-8794

NPI assigned

Apr 6, 2006

Last updated

Jun 18, 2026By 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 identifiers 1

Other names 1

• Southcrest Dialysis Doing business as

Medicare fee-for-service enrollment

Enrolled in OK

Enrollment records 1

Listed as

DaVita Southcrest DialysisCCN 372567

Overall star rating

3.0 of 5

Ownership

Profit

Certified

Jan 31, 2005

Medicare certification status

ActiveFrom the Provider of Services file

Chain

DaVita

Dialysis stations

16

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 West Inc

  dba Renal Treatment Centers-Winfield

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Winfield, KS
  • NPI 1235198144

  Member Of

  NPD member

Locations

Affiliated clinicians 3

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

• Sohail Kareem, M.D.

  • Nephrology Physician
  • Tulsa, OK
  • NPI 1396760112

  Dialysis facility

  Care Compare affiliation Name & address match
• Narottam Regmi, MD

  • Nephrology Physician
  • Tulsa, OK
  • NPI 1427347947

  Dialysis facility

  Care Compare affiliation Name & address match
• Janet Elaine Russell, MD

  • Nephrology Physician
  • Tulsa, OK
  • NPI 1780691501

  Dialysis facility

  Care Compare affiliation Name & address match

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

{
    "created_epoch": "1144281600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1781740800000",
    "number": "1881657443",
    "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": "10921 E 81ST ST",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741334227",
            "telephone_number": "918-249-8402",
            "fax_number": "918-459-8794"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHCREST DIALYSIS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-06",
        "last_updated": "2026-06-18",
        "certification_date": "2026-06-18",
        "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": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200053010A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Southcrest Dialysis",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Southcrest Dialysis",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kinsley Southard
• Laurie Lynn Southard, BS, MS, DDS
• Wrany R Southard, D.D.S., P.C.
• Southbrook Family Physicians PLLC
• Southcrest Anesthesia Group LLC
• Southcrest Emergency Physicians PC
• Southcrest LLC (SouthCrest Hospital)
• Southcrest LLC
• Southcrest Medical Group LLC
• Southcrest Surgery Center LP (SouthCrest Surgicenter)

• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Tulsa, OK
• Providers in Tulsa, OK by specialty
• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 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.