Endicott Dialysis LLC

Primary specialty

End-Stage Renal Disease (ESRD) Treatment Clinic/CenterTaxonomy code 261QE0700X

Legal business name

ENDICOTT DIALYSIS LLC

Doing business as

Desert Dunes Dialysis

Practice address

2500 S 8TH Ave Ste 102
Yuma, AZ 85364-7132

Phone

(928) 314-9240

Fax

(928) 314-3015

NPI assigned

Jan 13, 2020

Last updated

Aug 22, 2025By the provider in NPPES

Organization subpart

No

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

Addresses

Other identifiers 1

Other names 1

• Desert Dunes Dialysis Doing business as

Medicare fee-for-service enrollment

Enrolled in AZ

Enrollment records 1

Listed as

DaVita Desert Dunes DialysisCCN 032663

Overall star rating

3.0 of 5

Ownership

Profit

Certified

Apr 6, 2020

Medicare certification status

ActiveFrom the Provider of Services file

Chain

DaVita

Dialysis stations

12

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Member of 3

Organizations this organization is a member of, according to the National Provider Directory.

• Yuma Regional Medical Center

  dba Onvida Health Yuma Medical Center

  • General Practice Physician
  • Yuma, AZ
  • NPI 1598993420

  Member Of

  NPD member
• Dva Healthcare Renal Care Inc

  dba Central Bamberg Dialysis

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Bamberg, SC
  • NPI 1639131741

  Member Of

  NPD member
• Isd Renal Inc

  dba Merchantville Dialysis

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Pennsauken, NJ
  • NPI 1194230441

  Member Of

  NPD member

Affiliated clinicians 1

Clinicians who list this facility as an affiliation in Medicare Care Compare.

• Kamal Eldin Mohamed Ahmed, M.D.

  • Nephrology Physician
  • Yuma, AZ
  • NPI 1952352411

  Dialysis facility

  Care Compare affiliation Name & address match

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1578873600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1755820800000",
    "number": "1225678774",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5200 VIRGINIA WAY",
            "address_2": "ATT: 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": "2500 S 8TH AVE STE 102",
            "city": "YUMA",
            "state": "AZ",
            "postal_code": "853647132",
            "telephone_number": "928-314-9240",
            "fax_number": "928-314-3015"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ENDICOTT DIALYSIS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-01-13",
        "last_updated": "2025-08-22",
        "certification_date": "2025-08-18",
        "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": "006896",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Desert Dunes Dialysis",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Desert Dunes Dialysis",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Emeral Springs Assit Living LLC
• Emerald Springs of Yuma, LLC (Emerald Springs Senior Living)
• Emg Diagnostic Testing Services LLC
• Emilia Matos M.D. P.C. (Pediatric Associates of Yuma)
• Stephanie Michael Enders, PT
• Laura England, RBT
• Ashley Marie English, PT, DPT
• Bethany Erickson
• Ernest F. Rillos, M.D., P.C.
• Erol Dalpiaz MD PLLC

• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Yuma, AZ
• Providers in Yuma, AZ by specialty
• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.

Verify at the official NPI Registry.