Active NPI
Damon Dialysis LLC
Doing business as Avon Dialysis
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Indianapolis, IN
National Provider Identifier
1730468836
On this page
Key facts
NPPES NPI Registry- Primary specialty
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Legal business name
- DAMON DIALYSIS LLC
- Doing business as
- Avon Dialysis
- Practice address
- 9210 Rockville Rd
Ste D
Indianapolis, IN 46234-2670 - Phone
- (317) 209-2544
- Fax
- (317) 209-2741
- NPI assigned
- Aug 8, 2011
- Last updated
- May 1, 2026
- 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
- Samuel Wey
- Title
- VP, Licensure & Certification
- Phone
- (615) 341-6641
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| End-Stage Renal Disease (ESRD) Treatment Clinic/Center | 261QE0700X | Primary |
Addresses
Primary practice location
9210 Rockville Rd
Ste D
Indianapolis, IN 46234-2670
Mailing address
5200 Virginia Way
L&C Dept
Brentwood, TN 37027-7569
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 201048160A | Medicaid | IN |
Other names 1
- Avon Dialysis
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IN
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20110908002286 | IN | Part A Provider - End-Stage Renal Disease Facility (ESRD) | 5496925042 | Practice locations: Indianapolis, IN |
National Provider Directory
National Provider DirectoryMember of 2
Organizations this organization is a member of, according to the National Provider Directory.
-
- Internal Medicine Physician
- Carmel, IN
- NPI 1831236272
Member Of
-
dba Parkland Dialysis Center
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Parkland, WA
- NPI 1881987485
Member Of
Locations
9210 Rockville Rd
Ste D
Indianapolis, IN 46234
Phone (317) 209-2544
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1312761600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1777593600000",
"number": "1730468836",
"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"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9210 ROCKVILLE RD",
"address_2": "STE D",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462342670",
"telephone_number": "317-209-2544",
"fax_number": "317-209-2741"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DAMON DIALYSIS LLC",
"organizational_subpart": "NO",
"enumeration_date": "2011-08-08",
"last_updated": "2026-05-01",
"certification_date": "2026-05-01",
"status": "A",
"authorized_official_last_name": "WEY",
"authorized_official_first_name": "SAMUEL",
"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": "201048160A",
"state": "IN"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Avon Dialysis",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Avon Dialysis",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Indianapolis, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.