Renal Center of Waterton, Lllp
NPI 1811147440 · End-Stage Renal Disease (ESRD) Treatment Clinic/Center · Tyler, TX
Enrolled with Medicare as Part a Provider - End-Stage Renal Disease Facility (esrd) · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Renal Center of Waterton, Lllp is a End-Stage Renal Disease (ESRD) Treatment Clinic/Center organization in Tyler, TX (NPI 1811147440).
Provider details
- NPI number
- 1811147440
- Entity type
- Organization
- Primary specialty
- End-Stage Renal Disease (ESRD) Treatment Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Samuel Wey, Vp Licensure & Certification(615) 341-6641
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
17 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Other names (DBA / former)
- Doing business as
- Renal Center of Waterton
Registry dates
- Enumerated
- 2008-09-18
- Last updated
- 2025-06-17
- Certified
- 2025-06-17
Frequently asked questions
- What is Renal Center of Waterton, Lllp's NPI number?
- Renal Center of Waterton, Lllp's National Provider Identifier (NPI) is 1811147440, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Renal Center of Waterton, Lllp?
- Renal Center of Waterton, Lllp is classified in the NPPES registry as End-Stage Renal Disease (ESRD) Treatment Clinic/Center (Ambulatory Health Care Facilities).
- Where is Renal Center of Waterton, Lllp located?
- Renal Center of Waterton, Lllp's practice location on file with NPPES is 2895 Shiloh Rd, Tyler, TX 75703-2936.
- What is Renal Center of Waterton, Lllp's phone number?
- The practice phone number listed in the NPPES registry for Renal Center of Waterton, Lllp is (903) 561-0292.
- Does Renal Center of Waterton, Lllp accept Medicare?
- Renal Center of Waterton, Lllp is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Renal Center of Waterton, Lllp?
- The authorized official listed on Renal Center of Waterton, Lllp's NPPES record is Samuel Wey, Vp Licensure & Certification. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Renal Center of Waterton, Lllp's NPI active?
- Yes — Renal Center of Waterton, Lllp's NPI (1811147440) is active in the NPPES registry as of the last update on 2025-06-17.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.