Organization Active NPI

Dsi-Iu Health Arnett Dialysis, LLC

Doing business as U.S. Renal Care Lafayette Dialysis

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Lafayette, IN
National Provider Identifier
1285801001
Registry record updated Mar 29, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
End-Stage Renal Disease (ESRD) Treatment Clinic/CenterTaxonomy code 261QE0700X
Legal business name
DSI-IU HEALTH ARNETT DIALYSIS, LLC
Doing business as
U.S. Renal Care Lafayette Dialysis
Practice address
915 Mezzanine Dr
Lafayette, IN 47905-8637
Phone
(765) 448-4851
Fax
(756) 448-4364
NPI assigned
May 12, 2008
Last updated
Mar 29, 2016By the provider in NPPES
Organization subpart
Yes
Parent organization
U.S. RENAL CARE, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 29, 2016

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

Authorized official

Name
Thomas L. Weinberg
Title
Authorized Official
Phone
(214) 736-2700

Specialties & licenses 1

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

Addresses

Primary practice location

915 Mezzanine Dr
Lafayette, IN 47905-8637

Mailing address

424 Church St
Suite 1900
Nashville, TN 37219-2301
Phone (615) 777-8201

Other identifiers 1

IdentifierTypeStateIssuer
200930200AMedicaidIN

Other names 1

  • U.S. Renal Care Lafayette Dialysis Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080722000391 IN Part A Provider - End-Stage Renal Disease Facility (ESRD) 7618040841 Practice locations: Lafayette, IN

Care Compare: Dialysis facility

Medicare Care Compare
Listed as
USRC Lafayette DialysisCCN 152635
Overall star rating
2.0 of 5
Ownership
Profit
Certified
Oct 6, 2008
Medicare certification status
ActiveFrom the Provider of Services file
Chain
US Renal Care, Inc.
Dialysis stations
12

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

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
15D1085793Dsi-Iu Health Arnett Dialysis LLC D/B/a US Renal915 Mezzanine Dr, Lafayette, IN 47905Certificate of waiverJun 25, 2028

National Provider Directory

National Provider Directory
Part of
US Renal Care Inc

Member of 2

Organizations this organization is a member of, according to the National Provider Directory.

Locations

915 Mezzanine Dr
Lafayette, IN 47905
Phone (765) 448-4851

915 Mezzanine Dr
Ste B
Lafayette, IN 47905
Phone (765) 448-4851

Practitioners & affiliated clinicians

Affiliated clinicians 4

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": "1210550400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1459209600000",
    "number": "1285801001",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "424 CHURCH ST",
            "address_2": "SUITE 1900",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372192301",
            "telephone_number": "615-777-8201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "915 MEZZANINE DR",
            "city": "LAFAYETTE",
            "state": "IN",
            "postal_code": "479058637",
            "telephone_number": "765-448-4851",
            "fax_number": "756-448-4364"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DSI-IU HEALTH ARNETT DIALYSIS, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "U.S. RENAL CARE, INC.",
        "enumeration_date": "2008-05-12",
        "last_updated": "2016-03-29",
        "status": "A",
        "authorized_official_last_name": "WEINBERG",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "214-736-2700"
    },
    "taxonomies": [
        {
            "code": "261QE0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, End-Stage Renal Disease (ESRD) Treatment",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200930200A",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "U.S. Renal Care Lafayette Dialysis",
            "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 Mar 29, 2016; 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.

Verify at the official NPI Registry.