Active NPI
Poinsett Dialysis LLC
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Windsor Mill, MD
National Provider Identifier
1487056917
On this page
Key facts
NPPES NPI Registry- Primary specialty
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- License
- E2632
- Legal business name
- POINSETT DIALYSIS LLC
- Practice address
- 2707 N Rolling Rd
Suite 104-105
Windsor Mill, MD 21244-2157 - Phone
- (410) 944-2649
- Fax
- (410) 944-2726
- NPI assigned
- Sep 16, 2014
- Organization subpart
- No
NPPES NPI Registry
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
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| End-Stage Renal Disease (ESRD) Treatment Clinic/Center | 261QE0700X | E2632 | MD | Primary |
Addresses
Primary practice location
2707 N Rolling Rd
Suite 104-105
Windsor Mill, MD 21244-2157
Mailing address
5200 Virginia Way
L & C Department
Brentwood, TN 37027-7569
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4233794 00 | Medicaid | MD | |
| E2632 | Other | MD | STATE LICENSE |
Other names 1
- Windsor Dialysis
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MD
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20141202000532 | MD | Part A Provider - End-Stage Renal Disease Facility (ESRD) | 0648592626 | Practice locations: Windsor Mill, MD |
Care Compare: Dialysis facility
Medicare Care Compare- Listed as
- DaVita Windsor Dialysis
- Overall star rating
- Ownership
- Profit
- Certified
- Feb 23, 2003
- Medicare certification status
- Active
- Chain
- DaVita
- Dialysis stations
- 18
Name & address match This facility record has no NPI; it was connected to this NPI by matching name and address.
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 21D1106666 | Windsor Dialysis | Certificate of waiver | Oct 19, 2027 |
National Provider Directory
National Provider DirectoryMember of 2
Organizations this organization is a member of, according to the National Provider Directory.
-
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Rockfrd, IL
- NPI 1154997591
Member Of
-
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Burlington, WA
- NPI 1932595584
Member Of
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Nephrology Physician
- Catonsville, MD
- NPI 1225013493
Affiliated clinicians 4
Clinicians who list this facility as an affiliation in Medicare Care Compare.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1410825600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1779148800000",
"number": "1487056917",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5200 VIRGINIA WAY",
"address_2": "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": "2707 N ROLLING RD",
"address_2": "SUITE 104-105",
"city": "WINDSOR MILL",
"state": "MD",
"postal_code": "212442157",
"telephone_number": "410-944-2649",
"fax_number": "410-944-2726"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "POINSETT DIALYSIS LLC",
"organizational_subpart": "NO",
"enumeration_date": "2014-09-16",
"last_updated": "2026-05-19",
"certification_date": "2026-05-19",
"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": "MD",
"license": "E2632",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "4233794 00",
"state": "MD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LICENSE",
"identifier": "E2632",
"state": "MD"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Windsor Dialysis",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Windsor Dialysis",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Windsor Mill, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2026; 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.