Active NPI
Renal Center of Nederland, LLC
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Port Arthur, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Legal business name
- RENAL CENTER OF NEDERLAND, LLC
- Practice address
- 8797 9TH Ave
Port Arthur, TX 77642-8011 - Phone
- (409) 729-2212
- Fax
- (409) 729-2656
- NPI assigned
- Dec 29, 2011
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| End-Stage Renal Disease (ESRD) Treatment Clinic/Center | 261QE0700X | Primary |
Addresses
Primary practice location
8797 9TH Ave
Port Arthur, TX 77642-8011
Mailing address
5200 Virginia Way
L&C Department
Brentwood, TN 37027-7569
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3122681-01 | Medicaid | TX |
Other names 1
- RENAL CENTER OF NEDERLAND
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20120307000541 | TX | Part A Provider - End-Stage Renal Disease Facility (ESRD) | 0345409538 | Practice locations: Port Arthur, TX |
Care Compare: Dialysis facility
Medicare Care Compare- Listed as
- Renal Center of Nederland
- Overall star rating
- Ownership
- Profit
- Certified
- Jan 15, 2003
- Medicare certification status
- Active
- Chain
- DaVita
- Dialysis stations
- 16
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 NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 45D1001000 | Renal Center of Nederland | Certificate of waiver | Jun 26, 2028 |
National Provider Directory
National Provider DirectoryMember of 1
Organizations this organization is a member of, according to the National Provider Directory.
-
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Lehighton, PA
- NPI 1598727372
Member Of
Locations
8797 9th Ave
Port Arthur, TX 77642
Phone (409) 729-2212
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Nephrology Physician
- Nederland, TX
- NPI 1124028816
Affiliated clinicians 4
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": "1325116800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1741737600000",
"number": "1902175490",
"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": "8797 9TH AVE",
"city": "PORT ARTHUR",
"state": "TX",
"postal_code": "776428011",
"telephone_number": "409-729-2212",
"fax_number": "409-729-2656"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "RENAL CENTER OF NEDERLAND, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2011-12-29",
"last_updated": "2025-03-12",
"certification_date": "2025-03-12",
"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": "3122681-01",
"state": "TX"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "RENAL CENTER OF NEDERLAND",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Port Arthur, TX
- Regency Nursing Center Partners of Port Arthur-Golden Triangle, LTD
- Rehab4Kids, LLC
- Ankush Pal Rehan, PHARMD
- Renal Care Group Texas Inc
- Renal Care Group-Beaumont, L.P.
- Renal Center of Port Arthur, LLC
- Residential Senior Care (RSC)
- Reyna Nguyen D.D.S P.L.L.C
- Heather Nicole Rhodes, DDS
- Richard a Schleiffer DPM Apc
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 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.