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BULLOCK DIALYSIS LLC
NPI 1639715808
Clinic/Center - End-Stage Renal Disease (ESRD) Treatment in Cincinnati, OH

Active since November 22, 2019
2/5
Overall Rating
2290 FERGUSON RD, CINCINNATI, OH 45238(513) 347-3626(513) 347-2680 Get Directions Write a Review

NPPES record last updated: September 3, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Sep 3, 2025, Nov 8, 2023, Dec 7, 2020 and 3 more (6 updates tracked since 2019).

About Bullock Dialysis Llc NPPES

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

BULLOCK DIALYSIS LLC (NPI 1639715808), doing business as Queen City Dialysis, is a healthcare organization registered as an end-stage renal disease (esrd) treatment in Cincinnati, Ohio and active in the NPI registry since November 2019. The organization lists Samuel Wey, Vp Licensure & Certification, as its authorized official.

NPPES Registry Identity

NPI1639715808
Entity TypeOrganization
Primary Taxonomy261QE0700X
Legal Business NameBULLOCK DIALYSIS LLC
Location Address2290 FERGUSON RDCincinnati, OH 45238
Mailing Address5200 Virginia Way, Att: L&c DeptBrentwood, TN 37027-7569
Phone(513) 347-3626
Fax(513) 347-2680
Organization SubpartYesParent: Davita Inc
Authorized OfficialSamuel WeyVp Licensure & Certification · (615) 341-6641
Enumeration DateNovember 22, 2019
Last NPPES UpdateSeptember 3, 20256 updates tracked since enumeration
NPPES CertifiedSeptember 3, 2025
✔ NPI 1639715808 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
2290 FERGUSON RD, Cincinnati, OH 45238
Open in Google Maps ↗

Other Names 1

Doing Business AsQueen City Dialysis

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 ›

Dialysis Facility Quality Ratings CMS Care Compare

Quality ratings, services and patient survey results for DaVita Queen City Dialysis (CMS certification number 362894), from CMS Care Compare.

DaVita Queen City Dialysis

Dialysis facility · Cincinnati, OH
2/5 CMS RatingRating period January 2020 to December 2023
OwnershipProfit
ChainDaVita
CMS Certification Number362894
ESRD NetworkNetwork 9
Hemodialysis Stations17
Medicare-Certified SinceMay 6, 2020
Location2290 Ferguson RdCincinnati, OH 45238 · Hamilton County
Phone(513) 347-3626
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 Bullock Dialysis LLC's NPI number?

The NPI number for Bullock Dialysis LLC is 1639715808. It was assigned to this organization in the NPPES registry on November 22, 2019. The provider is doing business as Queen City Dialysis.

Where is Bullock Dialysis LLC located?

Bullock Dialysis LLC is located at 2290 Ferguson Rd, Cincinnati, OH 45238. The listed phone number is (513) 347-3626.

What is Bullock 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 Bullock Dialysis LLC a Medicare-certified dialysis facility?

Yes. DaVita Queen City Dialysis is a Medicare-certified dialysis facility, certified since May 6, 2020.

What quality rating does Bullock Dialysis LLC have?

CMS rates DaVita Queen City Dialysis 2 out of 5 stars on Care Compare. The full measure detail is in the Dialysis Facility Quality section above.

What insurance does Bullock 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 9 other insurers list Bullock 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 Bullock Dialysis LLC was last updated on September 3, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.