Ellsworth Dialysis LLC

Primary specialty

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

Legal business name

ELLSWORTH DIALYSIS LLC

Doing business as

McKinney Corner Dialysis

Practice address

4601 Medical Center Dr
Ste G
McKinney, TX 75069-1771

Phone

(972) 984-1974

Fax

(972) 548-4805

NPI assigned

Mar 21, 2017

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Samuel Wey

Title

VP, Licensure & Certification

Phone

(615) 341-6641

Specialties & licenses 1

Addresses

Other names 1

• McKinney Corner Dialysis Doing business as

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Listed as

DaVita McKinney Corner DialysisCCN 742513

Overall star rating

3.0 of 5

Ownership

Profit

Certified

Nov 2, 2018

Medicare certification status

ActiveFrom the Provider of Services file

Chain

DaVita

Dialysis stations

17

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 Donna Dialysis

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Donna, TX
  • NPI 1902353543

  Member Of

  NPD member

Affiliated clinicians 2

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

• Salman Saeed Butt, M.D

  • Nephrology Physician
  • McKinney, TX
  • NPI 1760664585

  Dialysis facility

  Care Compare affiliation Name & address match
• Samitha Reddy, MD

  • Nephrology Physician
  • McKinney, TX
  • NPI 1720224249

  Dialysis facility

  Care Compare affiliation Name & address match

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

{
    "created_epoch": "1490054400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1758758400000",
    "number": "1407387574",
    "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": "4601 MEDICAL CENTER DR",
            "address_2": "STE G",
            "city": "MCKINNEY",
            "state": "TX",
            "postal_code": "750691771",
            "telephone_number": "972-984-1974",
            "fax_number": "972-548-4805"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELLSWORTH DIALYSIS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-03-21",
        "last_updated": "2025-09-25",
        "certification_date": "2025-09-25",
        "status": "A",
        "authorized_official_last_name": "WEY",
        "authorized_official_first_name": "SAMUEL",
        "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": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "McKinney Corner Dialysis",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "McKinney Corner Dialysis",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Sarah Lillian Elizondo, RDN, MCN, LD
• Delaney Suzanne Elling, PA-C
• John M Elliott, C.S.F.A./D.O./PH.D.
• Robert Ellis, SA-C
• Alison Ellison
• Sameh Fouad Elsaid, MD
• Essam F Elsayed, M.D.
• Chinenye Emereole
• Emergency Physicians of MCK PLLC
• Daniel Emesiani, MD

• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in McKinney, TX
• Providers in McKinney, 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 Sep 25, 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.