Indiana Dialysis Company LLC

Primary specialty

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

License

01063444A Issued in IN

Legal business name

INDIANA DIALYSIS COMPANY LLC

Practice address

701 E County Line Rd Ste 210
Greenwood, IN 46143-1071

Phone

(317) 888-1100

NPI assigned

Dec 4, 2011

Last updated

Aug 11, 2012By 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

Dr. Anil Kumar Jain, MDNPI 1679539472

Title

Ceo

Phone

(317) 888-1100

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IN

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Anil Kumar Jain, M.D

  • Nephrology Physician
  • Indianapolis, IN
  • NPI 1679539472
  NPD Authorized official

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

{
    "created_epoch": "1322956800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1344643200000",
    "number": "1902174048",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "701 E COUNTY LINE RD STE 210",
            "city": "GREENWOOD",
            "state": "IN",
            "postal_code": "461431071",
            "telephone_number": "317-888-1100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "701 E COUNTY LINE RD STE 210",
            "city": "GREENWOOD",
            "state": "IN",
            "postal_code": "461431071",
            "telephone_number": "317-888-1100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INDIANA DIALYSIS COMPANY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-12-04",
        "last_updated": "2012-08-11",
        "status": "A",
        "authorized_official_last_name": "JAIN",
        "authorized_official_first_name": "ANIL",
        "authorized_official_middle_name": "KUMAR",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "317-888-1100",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QE0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, End-Stage Renal Disease (ESRD) Treatment",
            "state": "IN",
            "license": "01063444A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Saneera Ilmudeen, MD
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• Indiana Concierge Medicine (Honey Grove Concierge Medicine)
• Indiana Counselors and Wellness LLC
• Indiana Eye Clinic, LLC
• Indiana Group LLC
• Indiana Heart Associates PC
• Indiana Internal Medicine Consultants
• Indiana Internal Medicine Consultants, LLC.

• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Greenwood, IN
• Providers in Greenwood, 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 11, 2012; 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.

Verify at the official NPI Registry.