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BLUEGRASS DIALYSIS LLC
NPI 1255566444
Clinic/Center - End-Stage Renal Disease (ESRD) Treatment in Covington, KY

Active since May 18, 2009
3/5
Overall Rating
1500 JAMES SIMPSON JR WAY, STE 1100, COVINGTON, KY 41011(859) 261-4345(859) 261-4378 Get Directions Write a Review

NPPES record last updated: June 18, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jun 18, 2025, Sep 1, 2022, Dec 14, 2021 and 3 more (6 updates tracked since 2015).

About Bluegrass Dialysis Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BLUEGRASS DIALYSIS LLC (NPI 1255566444), doing business as 12th Street Covington Dialysis, is a healthcare organization registered as an end-stage renal disease (esrd) treatment in Covington, Kentucky and active in the NPI registry since May 2009. The organization lists Samuel T Wey, Vp Licensure&certification, as its authorized official.

NPPES Registry Identity

NPI1255566444
Entity TypeOrganization
Primary Taxonomy261QE0700X
Legal Business NameBLUEGRASS DIALYSIS LLC
Location Address1500 JAMES SIMPSON JR WAY, STE 1100Covington, KY 41011-0802
Mailing Address5200 Virginia Way, Att: L&c DeptBrentwood, TN 37027-7569
Phone(859) 261-4345
Fax(859) 261-4378
Organization SubpartNo
Authorized OfficialSamuel T WeyVp Licensure&certification · (615) 341-6641
Enumeration DateMay 18, 2009
Last NPPES UpdateJune 18, 20256 updates tracked since enumeration
NPPES CertifiedJune 18, 2025
✔ NPI 1255566444 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · End-Stage Renal Disease (ESRD) TreatmentAmbulatory Health Care Facilities
Taxonomy Code261QE0700X
License✔ Licensed in KY · 300215
1500 JAMES SIMPSON JR WAY, Covington, KY 41011
Open in Google Maps ↗

Other Names 1

Doing Business As12th Street Covington Dialysis

Other Identifiers 1

Medicaid7100116930KY

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Home State Health, Ambetter Health, Ambetter Health of Delaware and more.Insurance ›

Dialysis Facility Quality Ratings CMS Care Compare

Quality ratings, services and patient survey results for DaVita 12th Street Covington Dialysis (CMS certification number 182604), from CMS Care Compare.

DaVita 12th Street Covington Dialysis

Dialysis facility · Covington, KY
3/5 CMS RatingRating period January 2020 to December 2023
OwnershipProfit
ChainDaVita
CMS Certification Number182604
ESRD NetworkNetwork 9
Hemodialysis Stations17
Medicare-Certified SinceFebruary 11, 2009
Location1500 JAMES SIMPSON JR. WAY, STE. 1100Covington, KY 41011 · Kenton County
Phone(859) 261-4345
Services Offered
In-center hemodialysis

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

KENNETRA BRADSHAW RD
Dietitian, Registered
1500 JAMES SIMPSON JR WAY
COVINGTON, KY 41011
Kenton County (859) 655-8910
DR. EUGENE JAMES BURCHELL JR. M.D.
Obstetrics & Gynecology
1500 JAMES SIMPSON JR WAY, WOULD CARE DEPT.
COVINGTON, KY 41011
Kenton County (859) 655-1100
WAEL E EID MD
Internal Medicine (Endocrinology, Diabetes & Metabolism)
1500 JAMES SIMPSON JR WAY, SUITE 301
COVINGTON, KY 41011
Kenton County (859) 655-8910
MR. ERIC R WOOD PA-C
Physician Assistant
1500 JAMES SIMPSON JR WAY
COVINGTON, KY 41011
Kenton County (859) 655-1100
MRS. BRIANA L. VITUCCI RD
Dietitian, Registered
1500 JAMES SIMPSON JR WAY
COVINGTON, KY 41011
Kenton County (859) 655-8910
RAE ELIZAGARAY RD
Dietitian, Registered
1500 JAMES SIMPSON JR WAY
COVINGTON, KY 41011
Kenton County (859) 655-8910
DR. NED MEHLMAN M.D.
Internal Medicine (Cardiovascular Disease)
1500 JAMES SIMPSON JR WAY
COVINGTON, KY 41011
Kenton County (859) 655-9500
IRINA KORABLEVA MD
Internal Medicine (Endocrinology, Diabetes & Metabolism)
1500 JAMES SIMPSON JR WAY
COVINGTON, KY 41011
Kenton County (859) 655-8910

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Bluegrass Dialysis LLC's NPI number?

The NPI number for Bluegrass Dialysis LLC is 1255566444. It was assigned to this organization in the NPPES registry on May 18, 2009. The provider is doing business as 12th Street Covington Dialysis.

Where is Bluegrass Dialysis LLC located?

Bluegrass Dialysis LLC is located at 1500 James Simpson Jr Way Ste 1100, Covington, KY 41011. The listed phone number is (859) 261-4345.

What is Bluegrass Dialysis LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in End-Stage Renal Disease (ESRD) Treatment, with taxonomy code 261QE0700X.

Is Bluegrass Dialysis LLC a Medicare-certified dialysis facility?

Yes. DaVita 12th Street Covington Dialysis is a Medicare-certified dialysis facility, certified since February 11, 2009.

What quality rating does Bluegrass Dialysis LLC have?

CMS rates DaVita 12th Street Covington Dialysis 3 out of 5 stars on Care Compare. The full measure detail is in the Dialysis Facility Quality section above.

What insurance does Bluegrass Dialysis LLC accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Home State Health, Anthem Blue Cross and Blue Shield and CareSource and 2 other insurers list Bluegrass Dialysis LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Bluegrass Dialysis LLC was last updated on June 18, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.