Central Kentucky Dialysis Centers LLC

Primary specialty

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

License

300031 Issued in KY

Legal business name

CENTRAL KENTUCKY DIALYSIS CENTERS LLC

Doing business as

Dialysis of Central Kentucky

Practice address

2807 Ring Rd
Elizabethtown, KY 42701-9114

Phone

(270) 735-1883

Fax

(270) 360-8982

NPI assigned

Mar 27, 2006

Last updated

Nov 13, 2025By 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

• Dialysis of Central Kentucky Doing business as

Medicare fee-for-service enrollment

Enrolled in KY

Enrollment records 1

Other NPIs with the same Medicare PAC ID 2

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

• Central Kentucky Dialysis Centers LLC

  dba Radcliff Dialysis

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Radcliff, KY
  • NPI 1144508839

  0648201525

  Same PAC ID
• Central Kentucky Dialysis Centers LLC

  dba Bardstown Dialysis Center

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Bardstown, KY
  • NPI 1982664306

  0648201525

  Same PAC ID

Listed as

DaVita Dialysis of Central KentuckyCCN 182504

Overall star rating

2.0 of 5

Ownership

Profit

Certified

Sep 1, 1977

Medicare certification status

ActiveFrom the Provider of Services file

Chain

DaVita

Dialysis stations

29

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

CLIA laboratory certificates

Tax ID family

Central Kentucky Dialysis Centers LLC3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

• Central Kentucky Dialysis Centers LLC

  dba Radcliff Dialysis

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Radcliff, KY
  • NPI 1144508839
  NPD tax ID
• Central Kentucky Dialysis Centers LLC

  dba Bardstown Dialysis Center

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Bardstown, KY
  • NPI 1982664306
  NPD tax ID

Member of 1

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

• Renal Treatment Centers-Illinois Inc

  dba St Louis Dialysis Center

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Saint Louis, MO
  • NPI 1942261482

  Member Of

  NPD member

Locations

Affiliated clinicians 2

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

• Khalid M Bhatti, M.D.

  • Nephrology Physician
  • Elizabethtown, KY
  • NPI 1497824114

  Dialysis facility

  Care Compare affiliation Name & address match
• Mustafa Noor Muhammad, M.D

  • Nephrology Physician
  • Elizabethtown, KY
  • NPI 1598116782

  Dialysis facility

  Care Compare affiliation Name & address match

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

{
    "created_epoch": "1143417600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1762992000000",
    "number": "1861452302",
    "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": "2807 RING RD",
            "city": "ELIZABETHTOWN",
            "state": "KY",
            "postal_code": "427019114",
            "telephone_number": "270-735-1883",
            "fax_number": "270-360-8982"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTRAL KENTUCKY DIALYSIS CENTERS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-27",
        "last_updated": "2025-11-13",
        "certification_date": "2025-11-13",
        "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": "KY",
            "license": "300031",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100011990",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1791636",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dialysis of Central Kentucky",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Dialysis of Central Kentucky",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Center for Healthcare Innovations PSC
• Center for Healthcare Innovations, Inc.
• Center for Orthotic and Prosthetic Care of Kentucky LLC (Hanger Clinic)
• Centerwell Health Services USA, LLC (CenterWell Home Health)
• Central Cardiology Associates PLLC
• Central Medical Associates PLLC
• Century Pharmacy Inc (Century Medicines)
• Lisbet Cervera Lopez, PT
• Todd Y. Chadwell, MD
• Evan Reese Chadwick, DMD

• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Elizabethtown, KY
• Providers in Elizabethtown, 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 Nov 13, 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.