Borrego Dialysis LLC

Primary specialty

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

Legal business name

BORREGO DIALYSIS LLC

Doing business as

Western Ridge Dialysis

Practice address

6909 Good Samaritan Dr
Ste C
Cincinnati, OH 45247-5209

Phone

(513) 353-0237

Fax

(513) 353-0230

NPI assigned

Jan 14, 2016

Last updated

Feb 3, 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 1

Other names 1

• Western Ridge Dialysis Doing business as

Medicare fee-for-service enrollment

Enrolled in OH

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).

• Borrego Dialysis LLC

  dba West Hamilton Dialysis

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Hamilton, OH
  • NPI 1184038903

  3476791815

  Same PAC ID
• Borrego Dialysis LLC

  dba Harrison Dialysis

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Harrison, OH
  • NPI 1972843316

  3476791815

  Same PAC ID

Listed as

DaVita Western Ridge DialysisCCN 362849

Overall star rating

4.0 of 5

Ownership

Profit

Certified

Nov 22, 2016

Medicare certification status

ActiveFrom the Provider of Services file

Chain

DaVita

Dialysis stations

15

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

Borrego Dialysis 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.

• Borrego Dialysis LLC

  dba West Hamilton Dialysis

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Hamilton, OH
  • NPI 1184038903
  NPD tax ID
• Borrego Dialysis LLC

  dba Harrison Dialysis

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Harrison, OH
  • NPI 1972843316
  NPD tax ID

Member of 3

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

• Mermet Dialysis LLC

  dba Affinity Place Dialysis

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Cincinnati, OH
  • NPI 1003236357

  Member Of

  NPD member
• The Good Samaritan Hospital of Cincinnati, Ohio

  dba Good Samaritan Endoscopy Center North

  • General Acute Care Hospital
  • Montgomery, OH
  • NPI 1477166064

  Member Of

  NPD member
• Total Renal Care Inc

  dba TRC Children's Dialysis Center

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Chicago, IL
  • NPI 1396704508

  Member Of

  NPD member

Locations

Affiliated clinicians 2

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

• Hisham Elsherbiny Mohamed Elsherbiny, M.B., B.CH

  • Nephrology Physician
  • Cincinnati, OH
  • NPI 1023435039

  Dialysis facility

  Care Compare affiliation Name & address match
• Moarij Amer Qazi, M.D

  • Nephrology Physician
  • Cincinnati, OH
  • NPI 1669856266

  Dialysis facility

  Care Compare affiliation Name & address match

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

{
    "created_epoch": "1452729600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1738540800000",
    "number": "1881050292",
    "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": "6909 GOOD SAMARITAN DR",
            "address_2": "STE C",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452475209",
            "telephone_number": "513-353-0237",
            "fax_number": "513-353-0230"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BORREGO DIALYSIS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-01-14",
        "last_updated": "2025-02-03",
        "certification_date": "2025-01-31",
        "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": "0203347",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Western Ridge Dialysis",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Western Ridge Dialysis",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Madison Borgmann
• Ava Borhani
• Dennis Taitingfong Borja, D.C.
• Rebecca Marie Born, LISW-S
• Stephanie Ann Born
• Gerald Richard Borror, LICDC-CS
• Jeremy Joseph Borsky, DDS
• Christine Borst, CNP
• Thaddeus Michael Bort, MD
• Nathan Bosch

• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Cincinnati, OH
• Providers in Cincinnati, OH by specialty
• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 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.