Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 30 days.

PONDEROSA DIALYSIS LLC
NPI 1275876633
Clinic/Center - End-Stage Renal Disease (ESRD) Treatment in Dickinson, TX

Q: What is Ponderosa Dialysis LLC's NPI number?

The NPI number for Ponderosa Dialysis LLC is 1275876633. It was assigned to this organization in the NPPES registry on April 3, 2013. The provider is doing business as Victory Lakes Dialysis.

Q: What is Ponderosa Dialysis LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in End-Stage Renal Disease (ESRD) Treatment, with taxonomy code 261QE0700X.

Q: What quality rating does Ponderosa Dialysis LLC have?

CMS rates DaVita Victory Lakes Dialysis 4 out of 5 stars on Care Compare. The full measure detail is in the Dialysis Facility Quality section above.

Active since April 03, 2013

4/5

Overall Rating

3290 GULF FWY S STE H, DICKINSON, TX 77539(281) 337-2175(281) 337-2386 Get Directions Write a Review

NPPES record last updated: July 7, 2026. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Jul 7, 2026, Aug 22, 2024, Aug 5, 2021 and 2 more (5 updates tracked since 2019).

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About Ponderosa Dialysis Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PONDEROSA DIALYSIS LLC (NPI 1275876633), doing business as Victory Lakes Dialysis, is a healthcare organization registered as an end-stage renal disease (esrd) treatment in Dickinson, Texas and active in the NPI registry since April 2013. The organization lists Samuel T Wey, Vp Licensure&certification, as its authorized official.

NPPES Registry Identity

NPI1275876633

Entity TypeOrganization

Primary Taxonomy261QE0700X

Legal Business NamePONDEROSA DIALYSIS LLC

Location Address3290 GULF FWY S STE HDickinson, TX 77539-4542

Mailing Address5200 Virginia Way, L&c DeptBrentwood, TN 37027-7569

Phone(281) 337-2175

Fax(281) 337-2386

Organization SubpartNo

Authorized OfficialSamuel T WeyVp Licensure&certification · (615) 341-6641

Enumeration DateApril 3, 2013

Last NPPES UpdateJuly 7, 20265 updates tracked since enumeration

NPPES CertifiedJuly 7, 2026

✔ NPI 1275876633 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · End-Stage Renal Disease (ESRD) TreatmentAmbulatory Health Care Facilities

Taxonomy Code261QE0700X

3290 GULF FWY S STE H, Dickinson, TX 77539

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Other Names 1

Doing Business AsVictory Lakes Dialysis

Other Identifiers 1

Medicaid3469405-01TX

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and more.Insurance ›

Dialysis Facility Quality Ratings CMS Care Compare

Quality ratings, services and patient survey results for DaVita Victory Lakes Dialysis (CMS certification number 672754), from CMS Care Compare.

DaVita Victory Lakes Dialysis

Dialysis facility · Dickinson, TX

4/5 CMS RatingRating period January 2020 to December 2023

OwnershipProfit

ChainDaVita

CMS Certification Number672754

ESRD NetworkNetwork 14

Hemodialysis Stations12

Medicare-Certified SinceFebruary 27, 2015

Location3290 GULF FREEWAY S SUITE HDickinson, TX 77539 · Galveston County

Phone(281) 337-2175

Services Offered

In-center hemodialysis Evening shifts (after 5 PM)

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Ponderosa Dialysis LLC's NPI number?

The NPI number for Ponderosa Dialysis LLC is 1275876633. It was assigned to this organization in the NPPES registry on April 3, 2013. The provider is doing business as Victory Lakes Dialysis.

Where is Ponderosa Dialysis LLC located?

Ponderosa Dialysis LLC is located at 3290 Gulf Fwy S Ste H, Dickinson, TX 77539. The listed phone number is (281) 337-2175.

What is Ponderosa Dialysis LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in End-Stage Renal Disease (ESRD) Treatment, with taxonomy code 261QE0700X.

Is Ponderosa Dialysis LLC a Medicare-certified dialysis facility?

Yes. DaVita Victory Lakes Dialysis is a Medicare-certified dialysis facility, certified since February 27, 2015.

What quality rating does Ponderosa Dialysis LLC have?

CMS rates DaVita Victory Lakes Dialysis 4 out of 5 stars on Care Compare. The full measure detail is in the Dialysis Facility Quality section above.

What insurance does Ponderosa Dialysis LLC accept?

Health plans from Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 10 other insurers list Ponderosa Dialysis LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Ponderosa Dialysis LLC was last updated on July 7, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.