WYLIE DIALYSIS
NPI 1730466673
Clinic/Center - End-Stage Renal Disease (ESRD) Treatment in Wylie, TX

Active since November 07, 2011CLIA 45D2036977 · Waiver
3/5
Overall Rating
941 S WESTGATE WAY, WYLIE, TX 75098(972) 429-4315(972) 429-8954 Get Directions Write a Review

NPPES record last updated: March 20, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Dec 22, 2022, Sep 27, 2021, May 27, 2020 and 2 more (5 updates tracked since 2017).

About Wylie Dialysis NPPES

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

WYLIE DIALYSIS (NPI 1730466673) is a healthcare organization registered as an end-stage renal disease (esrd) treatment in Wylie, Texas and active in the NPI registry since November 2011. The organization holds a CLIA Waiver certificate valid through February 15, 2028 and lists Samuel T Wey, Vp Licensure&certification, as its authorized official.

NPPES Registry Identity

NPI1730466673
Entity TypeOrganization
Primary Taxonomy261QE0700X
Legal Business NameRUSSELL DIALYSIS LLC
Location Address941 S WESTGATE WAYWylie, TX 75098-4947
Mailing Address5200 Virginia Way, L&c DeptBrentwood, TN 37027-7569 · (615) 341-6398 · Fax (866) 586-4152
Fax(972) 429-8954
Organization SubpartNo
Authorized OfficialSamuel T WeyVp Licensure&certification · (615) 341-6641
Enumeration DateNovember 7, 2011
Last NPPES UpdateMarch 20, 20245 updates tracked since enumeration
NPPES CertifiedMarch 20, 2024
NPI 1730466673 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
941 S WESTGATE WAY, Wylie, TX 75098

Other Names 1

Doing Business AsWylie Dialysis

Other Identifiers 1

Medicaid319844201TX

Accepted Insurance

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 45D2036977

Wylie Dialysis · Wylie, TX
Active · expires Feb 15, 2028
CLIA Number45D2036977
Laboratory TypeEnd Stage Renal Disease Dialysis Facility
Certificate Effective DateFebruary 16, 2026
Certificate Expiration DateFebruary 15, 2028
Laboratory DirectorScott Biedermann
Laboratory Phone(972) 429-4315
Laboratory LocationWylie Dialysis941 S Westgate Way, Wylie, TX 75098
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Dialysis Facility Quality Ratings CMS Care Compare

Quality ratings, services and patient survey results for DaVita Wylie Dialysis (CMS certification number 672702), from CMS Care Compare.

DaVita Wylie Dialysis

Dialysis facility · Wylie, TX
3/5 CMS RatingRating period January 2020 to December 2023
OwnershipProfit
ChainDaVita
CMS Certification Number672702
ESRD NetworkNetwork 14
Hemodialysis Stations15
Medicare-Certified SinceApril 4, 2013
Location941 SOUTH WESTGATE WAYWylie, TX 75098 · Collin County
Services Offered
In-center hemodialysis Peritoneal dialysis

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 Russell Dialysis LLC's NPI number?

The NPI number for Russell Dialysis LLC is 1730466673. It was assigned to this organization in the NPPES registry on November 7, 2011. The provider is doing business as Wylie Dialysis.

Where is Russell Dialysis LLC located?

Russell Dialysis LLC is located at 941 S Westgate Way, Wylie, TX 75098. The listed phone number is (972) 429-4315.

What is Russell 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.

Does Russell Dialysis LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 45D2036977) is associated with this NPI, valid through February 15, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

Is Russell Dialysis LLC a Medicare-certified dialysis facility?

Yes. DaVita Wylie Dialysis is a Medicare-certified dialysis facility, certified since April 4, 2013.

What quality rating does Russell Dialysis LLC have?

CMS rates DaVita Wylie Dialysis 3 out of 5 stars on Care Compare. The full measure detail is in the Dialysis Facility Quality section above.

What insurance does Russell 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 11 other insurers list Russell 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 Russell Dialysis LLC was last updated on March 20, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.