Organization Active NPI

Key Dialysis LLC

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Sugar Land, TX
National Provider Identifier
1952710113
Registry record updated Sep 21, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
End-Stage Renal Disease (ESRD) Treatment Clinic/CenterTaxonomy code 261QE0700X
Legal business name
KEY DIALYSIS LLC
Practice address
1400 Creek Way Dr
Suite 211
Sugar Land, TX 77478-4072
Phone
(832) 939-9772
Fax
(832) 939-9774
NPI assigned
Aug 12, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 21, 2016

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mr. D. Scott Sullivan
Title
President
Phone
(713) 502-7022

Specialties & licenses 1

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

Addresses

Primary practice location

1400 Creek Way Dr
Suite 211
Sugar Land, TX 77478-4072

Mailing address

1400 Creek Way Dr Ste 211
Sugar Land, TX 77478-4073
Phone (832) 939-9772

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20181108001910 TX Part A Provider - End-Stage Renal Disease Facility (ESRD) 7810116183 Practice locations: Sugarland, TX

Care Compare: Dialysis facility

Medicare Care Compare
Listed as
Key DialysisCCN 742512
Ownership
Profit
Certified
Dec 13, 2018
Medicare certification status
ActiveFrom the Provider of Services file
Dialysis stations
1

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
45D2119062Key Dialysis LLC1400 Creek Way Ste 211, Sugar Land, TX 77478Certificate of waiverSep 18, 2026

National Provider Directory

National Provider Directory

Locations

1400 Creek Way Dr
Ste 211
Sugar Land, TX 77478
Phone (713) 502-7022

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

Affiliated clinicians 1

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": "1407801600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1474416000000",
    "number": "1952710113",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1400 CREEK WAY DR STE 211",
            "city": "SUGAR LAND",
            "state": "TX",
            "postal_code": "774784073",
            "telephone_number": "832-939-9772",
            "fax_number": "832-979-9774"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 CREEK WAY DR",
            "address_2": "SUITE 211",
            "city": "SUGAR LAND",
            "state": "TX",
            "postal_code": "774784072",
            "telephone_number": "832-939-9772",
            "fax_number": "832-939-9774"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KEY DIALYSIS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-08-12",
        "last_updated": "2016-09-21",
        "status": "A",
        "authorized_official_last_name": "SULLIVAN",
        "authorized_official_first_name": "D.",
        "authorized_official_middle_name": "SCOTT",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "713-502-7022",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QE0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, End-Stage Renal Disease (ESRD) Treatment",
            "state": "TX",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sugar Land, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2016; 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.