Ahern Dialysis LLC

Primary specialty

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

License

E2711 Issued in MD

Legal business name

AHERN DIALYSIS LLC

Doing business as

Odenton Dialysis

Practice address

1360 Blair Dr
Suite L & M
Odenton, MD 21113-1343

Phone

(410) 674-3918

Fax

(410) 672-8947

NPI assigned

Jul 14, 2015

Last updated

May 19, 2026By 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 2

Other names 1

• Odenton Dialysis Doing business as

Medicare fee-for-service enrollment

Enrolled in MD

Enrollment records 1

Listed as

DaVita Odenton DialysisCCN 212711

Overall star rating

4.0 of 5

Ownership

Profit

Certified

Aug 15, 2016

Medicare certification status

ActiveFrom the Provider of Services file

Chain

DaVita

Dialysis stations

19

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 2

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

• Total Renal Care Inc

  dba Cerritos Dialysis

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Cerritos, CA
  • NPI 1255681011

  Member Of

  NPD member
• Total Renal Care Inc

  dba Kenwood Dialysis

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Chicago, IL
  • NPI 1831896364

  Member Of

  NPD member

Locations

Affiliated clinicians 2

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

• Mahmudul Haque, M.D.

  • Nephrology Physician
  • Glen Burnie, MD
  • NPI 1639436595

  Dialysis facility

  Care Compare affiliation Name & address match
• Gerard Lowder, M.D.

  • Nephrology Physician
  • Glen Burnie, MD
  • NPI 1447258876

  Dialysis facility

  Care Compare affiliation Name & address match

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

{
    "created_epoch": "1436832000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1779148800000",
    "number": "1699159228",
    "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": "1360 BLAIR DR",
            "address_2": "SUITE L & M",
            "city": "ODENTON",
            "state": "MD",
            "postal_code": "211131343",
            "telephone_number": "410-674-3918",
            "fax_number": "410-672-8947"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AHERN DIALYSIS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-07-14",
        "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": "E2711",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4244176 00",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "E2711",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Odenton Dialysis",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Odenton Dialysis",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Acorn Health of Maryland LLC
• Jason Christopher Adam, RPH
• Samantha Adam, OTR/L
• Olubunmi Adinlewa
• Agewise Transportation LLC
• Daniella Akibo-Betts
• Philominah Kofoworola Akinwumi, NP
• Mariam Mojisola Akinyemi
• Michael C. Albert, M.D.
• All-Star Medical LLC (All-Star Medical)

• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Odenton, MD
• Providers in Odenton, MD by specialty
• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Maryland

• 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.

Verify at the official NPI Registry.