Basin Dialysis LLC

Primary specialty

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

Legal business name

BASIN DIALYSIS LLC

Doing business as

Buckeye Dialysis

Practice address

3050 S Dixie Dr
Kettering, OH 45409-1516

Phone

(937) 643-2337

Fax

(937) 643-2487

NPI assigned

Jun 14, 2012

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

• Buckeye Dialysis Doing business as

Medicare fee-for-service enrollment

Enrolled in OH

Enrollment records 1

Listed as

DaVita Buckeye DialysisCCN 362792

Overall star rating

3.0 of 5

Ownership

Profit

Certified

Apr 9, 2013

Medicare certification status

ActiveFrom the Provider of Services file

Chain

DaVita

Dialysis stations

17

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 1

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

• Total Renal Care Inc

  dba Cascade Dialysis

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Burlington, WA
  • NPI 1932595584

  Member Of

  NPD member

Affiliated clinicians 3

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

• Ahmed Oyesola Giwa, D.O

  • Hospitalist Physician
  • Cincinnati, OH
  • NPI 1528406840

  Dialysis facility

  Care Compare affiliation Name & address match
• Natallia Maroz, M.D.

  • Nephrology Physician
  • Kettering, OH
  • NPI 1154516110

  Dialysis facility

  Care Compare affiliation Name & address match
• Nilesh Suresh Mhaskar, MD

  • Nephrology Physician
  • Kettering, OH
  • NPI 1104816586

  Dialysis facility

  Care Compare affiliation Name & address match

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

{
    "created_epoch": "1339632000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757289600000",
    "number": "1912269929",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5200 VIRGINIA WAY",
            "address_2": "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": "3050 S DIXIE DR",
            "city": "KETTERING",
            "state": "OH",
            "postal_code": "454091516",
            "telephone_number": "937-643-2337",
            "fax_number": "937-643-2487"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BASIN DIALYSIS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-06-14",
        "last_updated": "2025-09-08",
        "certification_date": "2025-09-08",
        "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": "0087888",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Buckeye Dialysis",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Buckeye Dialysis",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Joel R Barnett, MD
• Michelle Barrord, MD
• Annabeth Pruett Barry, PA-C, MBA
• Gay Lynn Bartlett, MA CCC-SLP
• Qasim Bashir, M.D.
• Jazmyne Baskette
• Ayanna Baskin, OTR/L
• Bassam S Nakfour MD Inc
• Iman Bastawros, MD
• Rachael K Bauer

• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Kettering, OH
• Providers in Kettering, 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 Sep 8, 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.