NPIMap

Organization Active NPI

Indiana University Health Inc

Doing business as Riley Hospital Renal Services

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Indianapolis, IN
National Provider Identifier
1164622726
Registry record updated Jul 5, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
End-Stage Renal Disease (ESRD) Treatment Clinic/CenterTaxonomy code 261QE0700X
Legal business name
INDIANA UNIVERSITY HEALTH INC
Doing business as
Riley Hospital Renal Services
Practice address
705 Riley Hospital Dr
Room 1240
Indianapolis, IN 46202-5109
Phone
(317) 944-4303
NPI assigned
Jul 23, 2007
Last updated
Jul 5, 2023By the provider in NPPES
Organization subpart
Yes
Parent organization
INDIANA UNIVERSITY HEALTH INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 5, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Jennifer M. Alvey
Title
Cfo
Phone
(317) 963-0213

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
End-Stage Renal Disease (ESRD) Treatment Clinic/Center 261QE0700X NU Primary

Addresses

Primary practice location

705 Riley Hospital Dr
Room 1240
Indianapolis, IN 46202-5109

Mailing address

250 N. Shadeland Ave
RCS Legal
Indianapolis, IN 46219-1077

Other names 1

  • Riley Hospital Renal Services Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050920000296 IN Part A Provider - End-Stage Renal Disease Facility (ESRD) 2365350675 Practice locations: Indianapolis, IN

Other NPIs with the same Medicare PAC ID 20

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

View all 20

Care Compare: Dialysis facility

Medicare Care Compare
Listed as
Riley Hospital - Peds DialysisCCN 153522
Ownership
Non-profit
Certified
Jan 1, 1980
Medicare certification status
ActiveFrom the Provider of Services file
Dialysis stations
8

Name & address match This facility record has no NPI; it was connected to this NPI by matching name and address.

National Provider Directory

National Provider Directory
Part of
Clinical Laboratory SVC

Locations

705 Riley Hospital Dr
Rm 1240
Indianapolis, IN 46202
Phone (317) 944-4303

Ownership & related parties

All facility ownership & control disclosures 20

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Rehabilitation Hospital of Indiana IncIndianapolis, IN, CCN 153028 Hospital Other (51%) Feb 10, 1992
Indiana University Health Paoli HospitalPaoli, IN, CCN 151306 Hospital Operational/Managerial Control Jan 1, 2010
Indiana University Health Paoli HospitalPaoli, IN, CCN 15Z306 Hospital Operational/Managerial Control Jan 1, 2010
Iu Health Ball Memorial HospitalMuncie, IN, CCN 150089 Hospital Operational/Managerial Control Jan 9, 2009
Iu Health Bloomington HospitalBloomington, IN, CCN 150051 Hospital Operational/Managerial Control Jan 1, 2010
Iu Health Arnett HospitalLafayette, IN, CCN 150173 Hospital Operational/Managerial Control Aug 13, 2008
Iu Health Ball Memorial HospitalMuncie, IN, CCN 15T089 Hospital Operational/Managerial Control (100%) Jan 1, 2009
Iu Health Tipton HospitalTipton, IN, CCN 151311 Hospital Operational/Managerial Control Jan 1, 2009
Iu Health Tipton HospitalTipton, IN, CCN 15Z311 Hospital Operational/Managerial Control Jan 1, 2009
Iu Health White Memorial HospitalMonticello, IN, CCN 151312 Hospital Operational/Managerial Control Jul 1, 2011
Iu Health White Memorial HospitalMonticello, IN, CCN 15Z312 Hospital Operational/Managerial Control Jul 1, 2011
Indiana University Health Bedford HospitalBedford, IN, CCN 151328 Hospital Operational/Managerial Control (100%) Sep 15, 2005
Indiana University Health Bedford HospitalBedford, IN, CCN 15Z328 Hospital Operational/Managerial Control (100%) Sep 15, 2005
Iu Health FrankfortFrankfort, IN, CCN 151316 Hospital Operational/Managerial Control Jun 1, 2017
Iu Health FrankfortFrankfort, IN, CCN 15Z316 Hospital Operational/Managerial Control Jun 1, 2017
Iu Health JayPortland, IN, CCN 151320 Hospital Operational/Managerial Control Mar 1, 2018
Iu Health JayPortland, IN, CCN 15Z320 Hospital Operational/Managerial Control Mar 1, 2018
Indiana University Health HospiceIndianapolis, IN, CCN 151511 Hospice Operational/Managerial Control (100%) Jan 1, 1997
Iu Health Paoli Family and Internal MedicinePaoli, IN, CCN 158557 Rural health clinic Operational/Managerial Control Oct 1, 2020
Iu Health Blackford PhysiciansHartford City, IN, CCN 158558 Rural health clinic Operational/Managerial Control Jul 1, 2023

Owned or controlled facilities with NPI records 21

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

View all 21

Practitioners & affiliated clinicians

Affiliated clinicians 1

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

NPI Registry JSON

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

{
    "created_epoch": "1185148800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1688515200000",
    "number": "1164622726",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "250 N. SHADELAND AVE",
            "address_2": "RCS LEGAL",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462191077"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "705 RILEY HOSPITAL DR",
            "address_2": "ROOM 1240",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462025109",
            "telephone_number": "317-944-4303"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INDIANA UNIVERSITY HEALTH INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "INDIANA UNIVERSITY HEALTH INC",
        "enumeration_date": "2007-07-23",
        "last_updated": "2023-07-05",
        "certification_date": "2023-07-05",
        "status": "A",
        "authorized_official_last_name": "ALVEY",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "317-963-0213"
    },
    "taxonomies": [
        {
            "code": "261QE0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, End-Stage Renal Disease (ESRD) Treatment",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Riley Hospital Renal Services",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Riley Hospital Renal Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Indianapolis, IN

Sources for this page

Verify at the official NPI Registry.