Sherman Dialysis LLC

Primary specialty

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

License

7398ESR-0 Issued in NV

Legal business name

SHERMAN DIALYSIS LLC

Practice address

3291 N Buffalo Dr BLDG a
Suite 150
Las Vegas, NV 89129-7441

Phone

(702) 396-1045

Fax

(702) 396-1530

NPI assigned

Nov 17, 2011

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

• Cheyenne Dialysis Doing business as

Medicare fee-for-service enrollment

Enrolled in NV

Enrollment records 1

Listed as

DaVita Cheyenne DialysisCCN 292548

Overall star rating

1.0 of 5

Ownership

Profit

Certified

Oct 16, 2012

Medicare certification status

ActiveFrom the Provider of Services file

Chain

DaVita

Dialysis stations

24

Member of 1

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

• Total Renal Care Inc

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Napa, CA
  • NPI 1295024206

  Member Of

  NPD member

Locations

Affiliated clinicians 3

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

• Suresh Kumar Makhija, MD

  • Nephrology Physician
  • Las Vegas, NV
  • NPI 1679630743

  Dialysis facility

  Care Compare affiliation Name & address match
• Sayed Z Qazi, M.D.

  • Nephrology Physician
  • Las Vegas, NV
  • NPI 1457393225

  Dialysis facility

  Care Compare affiliation Name & address match
• Shahrouz Shadrou, M.D.

  • Nephrology Physician
  • Las Vegas, NV
  • NPI 1154534709

  Dialysis facility

  Care Compare affiliation Name & address match

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

{
    "created_epoch": "1321488000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1724198400000",
    "number": "1881961977",
    "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": "3291 N BUFFALO DR BLDG A",
            "address_2": "SUITE 150",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891297441",
            "telephone_number": "702-396-1045",
            "fax_number": "702-396-1530"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHERMAN DIALYSIS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-11-17",
        "last_updated": "2024-08-21",
        "certification_date": "2024-08-21",
        "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": "NV",
            "license": "7398ESR-0",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1881961977",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Cheyenne Dialysis",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Cheyenne Dialysis",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Simranjit Singh Shergill, DO
• Sheridan Drozdow Healthcare of Nevada PC
• Sherif W Abdou MD Apc
• Dustin Michael Sheriff, RN
• Vanessa Sherley
• Helen K Sherman, RN
• Liliana Maria Sherman
• Lisa Sherman
• Michael Lawrence Sherman, DDS
• Mikaneisha Sencere Sherman

• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2024; 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.