Active NPI
Unity Healthcare, LLC
- Nephrology Physician
- Lafayette, IN
National Provider Identifier
1194074153
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nephrology Physician
- Legal business name
- UNITY HEALTHCARE, LLC
- Practice address
- 114 Executive Dr
Suite a
Lafayette, IN 47905-4883 - Phone
- (765) 446-5185
- Fax
- (765) 446-5186
- NPI assigned
- Sep 6, 2012
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Heather Dawson
- Title
- Director of Billing
- Phone
- (765) 446-5417
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nephrology Physician | 207RN0300X | IN | Primary |
Addresses
Primary practice location
114 Executive Dr
Suite a
Lafayette, IN 47905-4883
Mailing address
PO Box 4699
Lafayette, IN 47903-4699
Phone (765) 449-2732
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 201106800A | Medicaid | IN |
Other names 1
- Lafayette Kidney Care
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IN
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040203001083 | IN | Part B Supplier - Clinic/Group Practice | 0244123362 |
Receives reassigned benefits from 69 practitioners This NPI is an additional NPI on the enrollment Practice locations: Lafayette, IN; West Lafayette, IN; La Fayette, IN; Flora, IN |
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 15D2047856 | Unity Healthcare, LLC / Lafayette Kidney Care | Certificate of waiver | Oct 3, 2026 |
National Provider Directory
National Provider DirectoryLocations
3806 Amelia Ave
Ste 2
Lafayette, IN 47905
Phone (765) 449-3900
412 N Monroe St
Williamsport, IN 47993
Phone (765) 762-2496
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Family Nurse Practitioner
- Lafayette, IN
- NPI 1639192438
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1346889600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1729209600000",
"number": "1194074153",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 4699",
"city": "LAFAYETTE",
"state": "IN",
"postal_code": "479034699",
"telephone_number": "765-449-2732",
"fax_number": "765-449-1196"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "114 EXECUTIVE DR",
"address_2": "SUITE A",
"city": "LAFAYETTE",
"state": "IN",
"postal_code": "479054883",
"telephone_number": "765-446-5185",
"fax_number": "765-446-5186"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "UNITY HEALTHCARE, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2012-09-06",
"last_updated": "2024-10-18",
"certification_date": "2024-10-18",
"status": "A",
"authorized_official_last_name": "DAWSON",
"authorized_official_first_name": "HEATHER",
"authorized_official_title_or_position": "DIRECTOR OF BILLING",
"authorized_official_telephone_number": "765-446-5417"
},
"taxonomies": [
{
"code": "207RN0300X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine, Nephrology",
"state": "IN",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "201106800A",
"state": "IN"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Lafayette Kidney Care",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Lafayette, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.