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FAIRFIELD DIALYSIS
NPI 1720042096
Clinic/Center - End-Stage Renal Disease (ESRD) Treatment in Fairfield, OH

Active since April 13, 2006CLIA 36D0949612 · Waiver
2/5
Overall Rating
1210 HICKS BLVD, FAIRFIELD, OH 45014(513) 939-1110(513) 939-1202 Get Directions Write a Review

NPPES record last updated: November 7, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Nov 7, 2023, Jun 17, 2020, Sep 23, 2019 (3 updates tracked since 2019).

About Fairfield Dialysis NPPES

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

FAIRFIELD DIALYSIS (NPI 1720042096) is a healthcare organization registered as an end-stage renal disease (esrd) treatment in Fairfield, Ohio and active in the NPI registry since April 2006. The organization holds a CLIA Waiver certificate valid through August 5, 2026 and lists Samuel T Wey, Vp, Licensure & Certification, as its authorized official.

NPPES Registry Identity

NPI1720042096
Entity TypeOrganization
Primary Taxonomy261QE0700X
Legal Business NameDVA HEALTHCARE SOUTHWEST OHIO LLC
Location Address1210 HICKS BLVDFairfield, OH 45014-1921
Mailing Address5200 Virginia Way, L&c DeptBrentwood, TN 37027-7569 · (615) 238-3051 · Fax (800) 246-8346
Phone(513) 939-1110
Fax(513) 939-1202
Organization SubpartNo
Authorized OfficialSamuel T WeyVp, Licensure & Certification · (615) 341-6641
Enumeration DateApril 13, 2006
Last NPPES UpdateNovember 7, 20233 updates tracked since enumeration
NPPES CertifiedNovember 7, 2023
✔ NPI 1720042096 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 · 0491DC
1210 HICKS BLVD, Fairfield, OH 45014
Open in Google Maps ↗

Other Names 1

Doing Business AsFairfield Dialysis

Other Identifiers 1

Medicaid3900031000KY

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 ›

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 36D0949612

Fairfield Dialysis · Fairfield, OH
Active · expires Aug 5, 2026
CLIA Number36D0949612
Laboratory TypeEnd Stage Renal Disease Dialysis Facility
Certificate Effective DateAugust 6, 2024
Certificate Expiration DateAugust 5, 2026
Laboratory DirectorSharad Goel MD
Laboratory Phone(513) 939-1110
Laboratory LocationFairfield Dialysis1210 Hicks Boulevard, Fairfield, OH 45014
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Dialysis Facility Quality Ratings CMS Care Compare

Quality ratings, services and patient survey results for DaVita Fairfield Dialysis (CMS certification number 362602), from CMS Care Compare.

DaVita Fairfield Dialysis

Dialysis facility · Fairfield, OH
2/5 CMS RatingRating period January 2020 to December 2023
OwnershipProfit
ChainDaVita
CMS Certification Number362602
ESRD NetworkNetwork 9
Hemodialysis Stations14
Medicare-Certified SinceOctober 16, 1998
Location1210 HICKS BLVDFairfield, OH 45014 · Butler County
Phone(513) 939-1110
Services Offered
In-center hemodialysis

Other Providers at the Same Location NPPES 5

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

DR. FRANK J ALBERS M.D.
Internal Medicine (Nephrology)
1210 HICKS BLVD
FAIRFIELD, OH 45014
Butler County (513) 939-3975
DR. SHARAD GOEL M.D.
Internal Medicine (Nephrology)
1210 HICKS BLVD
FAIRFIELD, OH 45014
Butler County (513) 939-3975
DVA RENAL HEALTHCARE INC
Clinic/Center (End-Stage Renal Disease (ESRD) Treatment)
1210 HICKS BLVD
FAIRFIELD, OH 45014
Butler County (513) 939-1120
BULLOCK DIALYSIS LLC
Clinic/Center (End-Stage Renal Disease (ESRD) Treatment)
1210 HICKS BLVD
FAIRFIELD, OH 45014
Butler County (513) 939-1120
SARA ATALLAH MD
Internal Medicine (Nephrology)
1210 HICKS BLVD
FAIRFIELD, OH 45014
Butler County (513) 939-3975

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 DVA Healthcare Southwest Ohio LLC's NPI number?

The NPI number for DVA Healthcare Southwest Ohio LLC is 1720042096. It was assigned to this organization in the NPPES registry on April 13, 2006. The provider is doing business as Fairfield Dialysis.

Where is DVA Healthcare Southwest Ohio LLC located?

DVA Healthcare Southwest Ohio LLC is located at 1210 Hicks Blvd, Fairfield, OH 45014. The listed phone number is (513) 939-1110.

What is DVA Healthcare Southwest Ohio 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.

Does DVA Healthcare Southwest Ohio LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 36D0949612) is associated with this NPI, valid through August 5, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

Is DVA Healthcare Southwest Ohio LLC a Medicare-certified dialysis facility?

Yes. DaVita Fairfield Dialysis is a Medicare-certified dialysis facility, certified since October 16, 1998.

What quality rating does DVA Healthcare Southwest Ohio LLC have?

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

What insurance does DVA Healthcare Southwest Ohio LLC accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and CareSource and 10 other insurers list DVA Healthcare Southwest Ohio 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 DVA Healthcare Southwest Ohio LLC was last updated on November 7, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.