NPIMap

Organization Active NPI

Houston Kidney Center - Total Renal Care Integrated Service Network LP

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Houston, TX
National Provider Identifier
1891758579
Registry record updated May 1, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
End-Stage Renal Disease (ESRD) Treatment Clinic/CenterTaxonomy code 261QE0700X
License
110233 Issued in TX
Legal business name
HOUSTON KIDNEY CENTER - TOTAL RENAL CARE INTEGRATED SERVICE NETWORK LP
Practice address
10985 Northwest Fwy
Houston, TX 77092-7305
Phone
(713) 812-1217
Fax
(713) 812-1693
NPI assigned
Apr 11, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 1, 2026

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

Specialty (taxonomy)CodeLicenseStatePrimary
End-Stage Renal Disease (ESRD) Treatment Clinic/Center 261QE0700X 110233 TX Primary

Addresses

Primary practice location

10985 Northwest Fwy
Houston, TX 77092-7305

Mailing address

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

Other identifiers 1

IdentifierTypeStateIssuer
094276501MedicaidTX

Other names 1

  • Northwest Kidney Center Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20071029000146 TX Part A Provider - End-Stage Renal Disease Facility (ESRD) 5496668279 Practice locations: Houston, 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 Northwest Kidney CenterCCN 452642
Overall star rating
3.0 of 5
Ownership
Profit
Certified
Feb 26, 1992
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
45D0674315Northwest Kidney Center10985 Northwest Fwy, Houston, TX 77092Certificate of waiverJul 31, 2026

National Provider Directory

National Provider Directory
Tax ID family
Houston Kidney Center - Total Renal Care Integrated Service Network 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.

Locations

11111 Brooklet Dr
Ste 100
Houston, TX 77099
Phone (281) 530-1905

380 W Little York Rd
Houston, TX 77076
Phone (281) 448-4506

11029 Northwest Fwy
Houston, TX 77092
Phone (713) 688-6199

10985 Northwest Fwy
Houston, TX 77092
Phone (713) 812-1217

9980 W Sam Houston Pkwy S
Ste 100
Houston, TX 77099
Phone (281) 530-1905

Practitioners & affiliated clinicians

Practitioners 3

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

Affiliated clinicians 2

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": "1144713600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1777593600000",
    "number": "1891758579",
    "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": "10985 NORTHWEST FWY",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770927305",
            "telephone_number": "713-812-1217",
            "fax_number": "713-812-1693"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOUSTON KIDNEY CENTER - TOTAL RENAL CARE INTEGRATED SERVICE NETWORK LP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-11",
        "last_updated": "2026-05-01",
        "certification_date": "2026-05-01",
        "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": "TX",
            "license": "110233",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "094276501",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Northwest Kidney Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Northwest Kidney Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Houston, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 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.