Dialysis Clinic Inc.

Primary specialty

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

Legal business name

DIALYSIS CLINIC INC.

Practice address

1719 W 10TH St
Indianapolis, IN 46222-3801

Phone

(317) 631-2005

Fax

(317) 631-0597

NPI assigned

Jul 8, 2006

Last updated

Oct 5, 2023By 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

Mr. Donovan Schultz

Title

President

Phone

(615) 327-3061

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in IN

Enrollment records 1

Listed as

Dci - IndianapolisCCN 152547

Overall star rating

3.0 of 5

Ownership

Non-profit

Certified

Jun 13, 1997

Medicare certification status

ActiveFrom the Provider of Services file

Chain

Dialysis Clinic, Inc.

Dialysis stations

27

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

Margaret Dillard MD238 organizations share this tax ID, including this one

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

Affiliated clinicians 4

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

• Stuart Abramson, MD

  • Nephrology Physician
  • Indianapolis, IN
  • NPI 1821097148

  Dialysis facility

  Care Compare affiliation Name & address match
• Jonathan William Bazeley, MD

  • Nephrology Physician
  • Indianapolis, IN
  • NPI 1750580445

  Dialysis facility

  Care Compare affiliation Name & address match
• Sharon L Karp, M.D.

  • Nephrology Physician
  • Indianapolis, IN
  • NPI 1124083431

  Dialysis facility

  Care Compare affiliation Name & address match
• Kausik Umanath, MD, MS

  • Nephrology Physician
  • Detroit, MI
  • NPI 1861514259

  Dialysis facility

  Care Compare affiliation Name & address match

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

{
    "created_epoch": "1152316800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1696464000000",
    "number": "1952334336",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1719 W 10TH ST",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462223801",
            "telephone_number": "317-631-2005",
            "fax_number": "317-631-0597"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1719 W 10TH ST",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462223801",
            "telephone_number": "317-631-2005",
            "fax_number": "317-631-0597"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIALYSIS CLINIC INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-08",
        "last_updated": "2023-10-05",
        "certification_date": "2023-10-05",
        "status": "A",
        "authorized_official_last_name": "SCHULTZ",
        "authorized_official_first_name": "DONOVAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "615-327-3061",
        "authorized_official_name_prefix": "Mr."
    },
    "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": "200144930A",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Barbara Dial
• Carol Aileen Dial, NP-C
• Faith Isabella Dial, BS, RBT
• Amadou Diogo Diallo
• Hadja C Diallo, BSW
• Dialysis Newco LLC (U.S. Renal Care Northwest Indianapolis Dialysis)
• Dialysis Vascular Specialists of Indiana LLC
• Diamedix Healthcare, LLC. (CarePoint Medical)
• Debra Jean Diamente
• Diamond Care Inc

• 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 Oct 5, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• 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.