New Bay Dialysis LLC

Primary specialty

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

Legal business name

NEW BAY DIALYSIS LLC

Doing business as

West Broadway Dialysis

Practice address

720 W Broadway
Louisville, KY 40202-2240

Phone

(502) 584-2059

Fax

(502) 584-2835

NPI assigned

Mar 13, 2009

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

• West Broadway Dialysis Doing business as

Medicare fee-for-service enrollment

Enrolled in KY

Enrollment records 1

Other NPIs with the same Medicare PAC ID 3

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

• New Bay Dialysis LLC

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Louisville, KY
  • NPI 1316188584

  5597813998

  Same PAC ID
• New Bay Dialysis LLC

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • La Grange, KY
  • NPI 1477794642

  5597813998

  Same PAC ID
• New Bay Dialysis LLC

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Corydon, IN
  • NPI 1265673792

  5597813998

  Same PAC ID

Tax ID family

Corydon Dialysis Center4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

• New Bay Dialysis LLC

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Louisville, KY
  • NPI 1316188584
  NPD tax ID
• New Bay Dialysis LLC

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • La Grange, KY
  • NPI 1477794642
  NPD tax ID
• New Bay Dialysis LLC

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Corydon, IN
  • NPI 1265673792
  NPD tax ID

Member of 1

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

• Renal Life Link Inc

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Mount Vernon, IL
  • NPI 1326072638

  Member Of

  NPD member

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

{
    "created_epoch": "1236902400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1749686400000",
    "number": "1588805063",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5200 VIRGINIA WAY",
            "address_2": "ATT: 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": "720 W BROADWAY",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402022240",
            "telephone_number": "502-584-2059",
            "fax_number": "502-584-2835"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW BAY DIALYSIS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-03-13",
        "last_updated": "2025-06-12",
        "certification_date": "2025-05-27",
        "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": "7100114660",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "West Broadway Dialysis",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "West Broadway Dialysis",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Amanda Nevins
• Cicely Nevitt, MSSW
• Serena K Nevitt, APRN, AG-PCNP-BC
• New Age Pulmonary Services LLC
• New Bay Dialysis LLC
• New Beginning Recovery House for Women
• New Beginning Recovery House for Women
• New Beginnings Education and Counseling Center, Inc.
• New Beginnings Family Services, Inc.
• New Family Counseling LLC

• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Louisville, KY
• Providers in Louisville, KY by specialty
• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.