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FORT DIALYSIS LLC
NPI 1356607162
Clinic/Center - End-Stage Renal Disease (ESRD) Treatment in Massillon, OH

Active since April 05, 2012
3/5
Overall Rating
2112 LINCOLN WAY E, MASSILLON, OH 44646(330) 837-7730(330) 837-7753 Get Directions Write a Review

NPPES record last updated: September 15, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Sep 15, 2025, May 6, 2021, Nov 21, 2019 and 1 more (4 updates tracked since 2017).

About Fort Dialysis Llc NPPES

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

FORT DIALYSIS LLC (NPI 1356607162), doing business as Massillon Community Dialysis, is a healthcare organization registered as an end-stage renal disease (esrd) treatment in Massillon, Ohio and active in the NPI registry since April 2012. The organization lists Samuel T Wey, Vp, Licensure & Certification, as its authorized official.

NPPES Registry Identity

NPI1356607162
Entity TypeOrganization
Primary Taxonomy261QE0700X
Legal Business NameFORT DIALYSIS LLC
Location Address2112 LINCOLN WAY EMassillon, OH 44646-7034
Mailing Address5200 Virginia Way, L&c DeptBrentwood, TN 37027-7569
Phone(330) 837-7730
Fax(330) 837-7753
Organization SubpartNo
Authorized OfficialSamuel T WeyVp, Licensure & Certification · (615) 341-6641
Enumeration DateApril 5, 2012
Last NPPES UpdateSeptember 15, 20254 updates tracked since enumeration
NPPES CertifiedSeptember 15, 2025
✔ NPI 1356607162 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 OH · 1034DC
2112 LINCOLN WAY E, Massillon, OH 44646
Open in Google Maps ↗

Other Names 1

Doing Business AsMassillon Community Dialysis

Other Identifiers 1

Medicaid0082955OH

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment and revalidation status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Fort Dialysis Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by March 31, 2027

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StateOhioEnrollment IDO20120615000367Part A · End-Stage Renal Disease Facility (ESRD)Due dateMarch 31, 2027
Source: CMS Revalidation Due Date List, October 2026 release.

Dialysis Facility Quality Ratings CMS Care Compare

Quality ratings, services and patient survey results for DaVita Massillon Community Dialysis (CMS certification number 362789), from CMS Care Compare.

DaVita Massillon Community Dialysis

Dialysis facility · Massillon, OH
3/5 CMS RatingRating period January 2020 to December 2023
OwnershipProfit
ChainDaVita
CMS Certification Number362789
ESRD NetworkNetwork 9
Hemodialysis Stations12
Medicare-Certified SinceMarch 21, 2013
Location2112 LINCOLN WAY EASTMassillon, OH 44646 · Stark County
Phone(330) 837-7730
Services Offered
In-center hemodialysis

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 Fort Dialysis LLC's NPI number?

The NPI number for Fort Dialysis LLC is 1356607162. It was assigned to this organization in the NPPES registry on April 5, 2012. The provider is doing business as Massillon Community Dialysis.

Where is Fort Dialysis LLC located?

Fort Dialysis LLC is located at 2112 Lincoln Way E, Massillon, OH 44646. The listed phone number is (330) 837-7730.

What is Fort 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 Fort Dialysis LLC enrolled in Medicare?

Yes. Fort Dialysis LLC is registered in the Medicare PECOS enrollment system.

When is Fort Dialysis LLC's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Part A enrollment for this organization (Ohio, End-Stage Renal Disease Facility (ESRD)) is due for revalidation by March 31, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

Is Fort Dialysis LLC a Medicare-certified dialysis facility?

Yes. DaVita Massillon Community Dialysis is a Medicare-certified dialysis facility, certified since March 21, 2013.

What quality rating does Fort Dialysis LLC have?

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

What insurance does Fort Dialysis LLC accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and CareSource and 11 other insurers list Fort 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 Fort Dialysis LLC was last updated on September 15, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.