Afton Dialysis LLC

Primary specialty

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

Legal business name

AFTON DIALYSIS LLC

Doing business as

Fort Brown Dialysis

Practice address

2000 Boca Chica Blvd
Brownsville, TX 78521-2226

Phone

(956) 541-0130

Fax

(956) 541-0160

NPI assigned

Oct 6, 2014

Last updated

Apr 10, 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

• Fort Brown Dialysis Doing business as

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Listed as

DaVita Fort Brown DialysisCCN 672777

Overall star rating

1.0 of 5

Ownership

Profit

Certified

May 16, 2016

Medicare certification status

ActiveFrom the Provider of Services file

Chain

DaVita

Dialysis stations

13

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 1

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

• Renal Treatment Centers-Southeast, LP.

  dba Barbour County Dialysis

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Eufaula, AL
  • NPI 1326583188

  Member Of

  NPD member

Locations

Affiliated clinicians 3

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

• Subramaniam Anandasivam, MD PA

  • Nephrology Physician
  • Brownsville, TX
  • NPI 1972560522

  Dialysis facility

  Care Compare affiliation Name & address match
• Paul-Moreau Bossous, M.D.

  • Nephrology Physician
  • Mission, TX
  • NPI 1487975439

  Dialysis facility

  Care Compare affiliation Name & address match
• Preston M Ukoli, M.D.

  • Nephrology Physician
  • Brownsville, TX
  • NPI 1962627026

  Dialysis facility

  Care Compare affiliation Name & address match

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

{
    "created_epoch": "1412553600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1744243200000",
    "number": "1285037168",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5200 VIRGINIA WAY",
            "address_2": "L&C DEPT",
            "city": "BRENTWOOD",
            "state": "TN",
            "postal_code": "370277569"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2000 BOCA CHICA BLVD",
            "city": "BROWNSVILLE",
            "state": "TX",
            "postal_code": "785212226",
            "telephone_number": "956-541-0130",
            "fax_number": "956-541-0160"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AFTON DIALYSIS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-10-06",
        "last_updated": "2025-04-10",
        "certification_date": "2025-04-10",
        "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": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "365890801",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Fort Brown Dialysis",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Fort Brown Dialysis",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Advanced Urgent Care of Brownsville, LLC
• Advantage Renal Care LLC
• Aesthetic Vein and Laser Institute, P.L.L.C.
• Affordable Care Clinic PLLC
• Affordable Clinics Brownsville
• Agape Transit LP
• Michelle Lynn Aguilar, AGACNP
• Ilse Deyanire Aguilera-Miller, NP-C
• Gustavo Fernando Aguirre, RPH
• Ah Counseling Services PLLC

• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Brownsville, TX
• Providers in Brownsville, TX by specialty
• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 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.