Silverwood Dialysis LLC

Primary specialty

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

Legal business name

SILVERWOOD DIALYSIS LLC

Doing business as

Indy East Dialysis

Practice address

1208 N Arlington Ave
Indianapolis, IN 46219-3203

Phone

(317) 353-6315

Fax

(317) 353-6358

NPI assigned

Sep 25, 2013

Last updated

Jan 30, 2025By 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

• Indy East Dialysis Doing business as

Medicare fee-for-service enrollment

Enrolled in IN

Enrollment records 1

Listed as

DaVita Indy East DialysisCCN 152661

Overall star rating

1.0 of 5

Ownership

Profit

Certified

Mar 25, 2014

Medicare certification status

ActiveFrom the Provider of Services file

Chain

DaVita

Dialysis stations

16

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

CLIA laboratory certificates

Member of 1

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

• Total Renal Care Inc

  dba Cerritos Dialysis

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Cerritos, CA
  • NPI 1255681011

  Member Of

  NPD member

Affiliated clinicians 4

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

• Nancy Regina Baird, M.D.

  • Nephrology Physician
  • Indianapolis, IN
  • NPI 1972500700

  Dialysis facility

  Care Compare affiliation Name & address match
• Carolyne Jepchirchir Jepkorir, M.D.

  • Nephrology Physician
  • Indianapolis, IN
  • NPI 1235390303

  Dialysis facility

  Care Compare affiliation Name & address match
• Morgan Elaine Marcuccilli, DO

  • Nephrology Physician
  • Indianapolis, IN
  • NPI 1811209182

  Dialysis facility

  Care Compare affiliation Name & address match
• Christopher C Shrack, DO

  • Internal Medicine Physician
  • Evansville, IN
  • NPI 1740816784

  Dialysis facility

  Care Compare affiliation Name & address match

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

{
    "created_epoch": "1380067200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1738195200000",
    "number": "1912333758",
    "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": "1208 N ARLINGTON AVE",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462193203",
            "telephone_number": "317-353-6315",
            "fax_number": "317-353-6358"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SILVERWOOD DIALYSIS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-09-25",
        "last_updated": "2025-01-30",
        "certification_date": "2025-01-29",
        "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": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "201226590A",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Indy East Dialysis",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Indy East Dialysis",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jerome David Silver, MD
• Russell Silver Jr., LMHC, CRC
• Sabrina L Silver, D.O.
• Jonathan Philip Silverberg, MD
• Linda Silverberg
• Chaenny Sim, MD
• Don Sim, MPH
• Michael Sim, M.D.
• Seung B Sim, MD
• Taylor S Sim, CAA

• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Indianapolis, IN
• Providers in Indianapolis, 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 Jan 30, 2025; 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.