Lofield Dialysis LLC

Primary specialty

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

Legal business name

LOFIELD DIALYSIS LLC

Practice address

5301 Pearl Dr
Ste 300
Evansville, IN 47712-8111

Phone

(812) 467-0161

Fax

(812) 467-0139

NPI assigned

Sep 14, 2016

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

Sr Director Licensure&Certification

Phone

(615) 341-6641

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Eagles Dialysis Doing business as

Medicare fee-for-service enrollment

Enrolled in IN

Enrollment records 1

Other NPIs with the same Medicare PAC ID 2

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

• Lofield Dialysis LLC

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Evansville, IN
  • NPI 1558876789

  2961795604

  Same PAC ID
• Lofield Dialysis LLC

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Henderson, KY
  • NPI 1780032169

  2961795604

  Same PAC ID

Listed as

DaVita Eagles DialysisCCN 152682

Overall star rating

4.0 of 5

Ownership

Profit

Certified

Sep 29, 2017

Medicare certification status

ActiveFrom the Provider of Services file

Chain

DaVita

Dialysis stations

13

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

Bridgeview Dialysis3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

• Lofield Dialysis LLC

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Evansville, IN
  • NPI 1558876789
  NPD tax ID
• Lofield Dialysis LLC

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Henderson, KY
  • NPI 1780032169
  NPD tax ID

Member of 2

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

• Deaconess Hospital, Inc

  • Geriatric Medicine (Internal Medicine) Physician
  • Evansville, IN
  • NPI 1750399259

  Member Of

  NPD member
• Total Renal Care Inc

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Burlington, WA
  • NPI 1932595584

  Member Of

  NPD member

Locations

Affiliated clinicians 2

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

• Narothama Reddy Aeddula, MD

  • Nephrology Physician
  • Evansville, IN
  • NPI 1255581641

  Dialysis facility

  Care Compare affiliation Name & address match
• Peter Joshua Juran, M.D.

  • Nephrology Physician
  • Evansville, IN
  • NPI 1780702266

  Dialysis facility

  Care Compare affiliation Name & address match

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

{
    "created_epoch": "1473811200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1692230400000",
    "number": "1720536295",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5200 VIRGINIA WAY",
            "address_2": "L&C DEPT",
            "city": "BRENTWOOD",
            "state": "TN",
            "postal_code": "370277569",
            "telephone_number": "615-320-4514",
            "fax_number": "866-594-9961"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5301 PEARL DR",
            "address_2": "STE 300",
            "city": "EVANSVILLE",
            "state": "IN",
            "postal_code": "477128111",
            "telephone_number": "812-467-0161",
            "fax_number": "812-467-0139"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LOFIELD DIALYSIS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-09-14",
        "last_updated": "2023-08-17",
        "certification_date": "2023-08-17",
        "status": "A",
        "authorized_official_last_name": "WEY",
        "authorized_official_first_name": "SAMUEL",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "SR DIRECTOR 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": "300009158A",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Eagles Dialysis",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Eagles Dialysis",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Mary Beth Lodato, CERTIFIED NURSE MIDW
• Peter J Lodico, M.D.
• Thomas M Loehr, OD
• Shannon Beth Loehrlein, M.S.W.
• Lofield Dialysis LLC
• Bethany P Logan, LCSW
• Mark Logan, M.D.
• Jessica Logsdon, PT, DPT
• Sandra Jean London, PT
• Baylee Long

• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Evansville, IN
• Providers in Evansville, 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 Aug 17, 2023; 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.