Bridges Dialysis LLC

Primary specialty

End-Stage Renal Disease (ESRD) Treatment Clinic/CenterTaxonomy code 261QE0700X

Legal business name

BRIDGES DIALYSIS LLC

Doing business as

Fort Wayne West Dialysis

Practice address

4916 Illinois Rd
Ste 118
Fort Wayne, IN 46804-5116

Phone

(260) 434-0483

Fax

(260) 435-1527

NPI assigned

Dec 8, 2010

Last updated

Jul 13, 2026By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Samuel T Wey

Title

VP Licensure & Certification

Phone

(615) 341-6641

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Fort Wayne West Dialysis Doing business as

Medicare fee-for-service enrollment

Enrolled in IN

Enrollment records 1

Other NPIs with the same Medicare PAC ID 3

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

• Bridges Dialysis LLC

  dba Fort Wayne South Dialysis

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Fort Wayne, IN
  • NPI 1003119876

  5890976450

  Same PAC ID
• Bridges Dialysis LLC

  dba Appleseed Dialysis

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Fort Wayne, IN
  • NPI 1093012544

  5890976450

  Same PAC ID
• Bridges Dialysis LLC

  dba Summit City Dialysis

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Fort Wayne, IN
  • NPI 1558635276

  5890976450

  Same PAC ID

Listed as

DaVita Fort Wayne West DialysisCCN 152648

Overall star rating

5.0 of 5

Ownership

Profit

Certified

Nov 29, 2011

Medicare certification status

ActiveFrom the Provider of Services file

Chain

DaVita

Dialysis stations

14

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

CLIA laboratory certificates

Tax ID family

Bridges Dialysis LLC4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

• Bridges Dialysis LLC

  dba Fort Wayne South Dialysis

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Fort Wayne, IN
  • NPI 1003119876
  NPD tax ID
• Bridges Dialysis LLC

  dba Appleseed Dialysis

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Fort Wayne, IN
  • NPI 1093012544
  NPD tax ID
• Bridges Dialysis LLC

  dba Summit City Dialysis

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Fort Wayne, IN
  • NPI 1558635276
  NPD tax ID

Member of 3

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

• Fort Wayne Vascular Care LLC

  dba Nephrology Associates of Northern Indiana PC

  • Ambulatory Surgical Clinic/Center
  • Fort Wayne, IN
  • NPI 1225684368

  Member Of

  NPD member
• Nephrology Associates of Northern Indiana, Inc

  • Nephrology Physician
  • Fort Wayne, IN
  • NPI 1578505814

  Member Of

  NPD member
• Total Renal Care Inc

  dba Parkland Dialysis Center

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Parkland, WA
  • NPI 1881987485

  Member Of

  NPD member

Affiliated clinicians 3

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

• Garima Gupta, MD

  • Nephrology Physician
  • Fort Wayne, IN
  • NPI 1073729125

  Dialysis facility

  Care Compare affiliation Name & address match
• Prasanna Isaac, M.D.

  • Nephrology Physician
  • Fort Wayne, IN
  • NPI 1881899276

  Dialysis facility

  Care Compare affiliation Name & address match
• Maria Regina Valcarcel, MD

  • Nephrology Physician
  • Fort Wayne, IN
  • NPI 1801054358

  Dialysis facility

  Care Compare affiliation Name & address match

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

{
    "created_epoch": "1291766400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1783900800000",
    "number": "1366745630",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5200 VIRGINIA WAY",
            "address_2": "ATT: L&C DEPT",
            "city": "BRENTWOOD",
            "state": "TN",
            "postal_code": "370277569"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4916 ILLINOIS RD",
            "address_2": "STE 118",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468045116",
            "telephone_number": "260-434-0483",
            "fax_number": "260-435-1527"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRIDGES DIALYSIS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-12-08",
        "last_updated": "2026-07-13",
        "certification_date": "2026-07-13",
        "status": "A",
        "authorized_official_last_name": "WEY",
        "authorized_official_first_name": "SAMUEL",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "VP LICENSURE & CERTIFICATION",
        "authorized_official_telephone_number": "615-341-6641"
    },
    "taxonomies": [
        {
            "code": "261QE0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, End-Stage Renal Disease (ESRD) Treatment",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "201048270A",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Fort Wayne West Dialysis",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Fort Wayne West Dialysis",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Emma Brewer
• Logan Bricault
• Chelsea Bridge
• Bridges Dialysis LLC (Fort Wayne South Dialysis)
• Bridges Dialysis LLC (Appleseed Dialysis)
• Bridges Dialysis LLC (Summit City Dialysis)
• Bridges Emotional Wellness Clinic, Inc
• Christian H Bridgwater, DO
• Kristine Briggs-Connelly, MSPT
• William F. Brigham, OD

• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Fort Wayne, IN
• Providers in Fort Wayne, IN by specialty
• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; 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.