Organization Active NPI

Birch Dialysis LLC

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Rocky River, OH
National Provider Identifier
1801192018
Registry record updated Feb 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
End-Stage Renal Disease (ESRD) Treatment Clinic/CenterTaxonomy code 261QE0700X
License
0907DC Issued in OH
Legal business name
BIRCH DIALYSIS LLC
Practice address
19133 Hilliard Blvd
Rocky River, OH 44116-2907
Phone
(216) 712-4700
Fax
(216) 712-4704
NPI assigned
Feb 4, 2011
Organization subpart
No

Authorized official

NPPES NPI Registry
Name
Samuel T Wey
Title
VP, Licensure & Certification
Phone
(615) 341-6641

Other NPIs with the same Medicare PAC ID 2

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

Member of 2

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

Affiliated clinicians 3

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

Care Compare: Dialysis facility

Medicare Care Compare
Listed as
DaVita Hilliard DialysisCCN 362699
Overall star rating
3.0 of 5
Ownership
Profit
Certified
Aug 29, 2007
Medicare certification status
ActiveFrom the Provider of Services file
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 NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
36D1067392Hilliard Dialysis19133 Hilliard Boulevard, Rocky River, OH 44116Certificate of waiverApr 16, 2027

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110407000341 OH Part A Provider - End-Stage Renal Disease Facility (ESRD) 5193909687 Practice locations: Rocky River, OH

National Provider Directory

National Provider Directory
Tax ID family
Birch Dialysis LLC4 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.

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
End-Stage Renal Disease (ESRD) Treatment Clinic/Center 261QE0700X 0907DC OH Primary

Addresses

NPPES NPI Registry

Primary practice location

19133 Hilliard Blvd
Rocky River, OH 44116-2907

Mailing address

5200 Virginia Way
Att: L&C Dept
Brentwood, TN 37027-7569

Other identifiers 1

NPPES NPI Registry
IdentifierTypeStateIssuer
0051911MedicaidOH

Other names 1

NPPES NPI Registry
  • Hilliard Dialysis Doing business as

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Feb 18, 2025.

{
    "created_epoch": "1296777600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1739836800000",
    "number": "1801192018",
    "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": "19133 HILLIARD BLVD",
            "city": "ROCKY RIVER",
            "state": "OH",
            "postal_code": "441162907",
            "telephone_number": "216-712-4700",
            "fax_number": "216-712-4704"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BIRCH DIALYSIS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-02-04",
        "last_updated": "2025-02-18",
        "certification_date": "2025-02-18",
        "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": "OH",
            "license": "0907DC",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0051911",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Hilliard Dialysis",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Hilliard Dialysis",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Rocky River, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 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.