Organization Active NPI

Nephrology Clinical Solutions Indiana, LLC

  • Nephrology Physician
  • Indianapolis, IN
National Provider Identifier
1972411254
Registry record updated Aug 28, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
Legal business name
NEPHROLOGY CLINICAL SOLUTIONS INDIANA, LLC
Practice address
2640 Cold Spring Rd
Indianapolis, IN 46222-2272
Phone
(317) 923-1518
NPI assigned
Aug 28, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 28, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Eric Jarquin
Title
Financial Controller
Phone
(954) 651-8332

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RN0300X Primary

Addresses

Primary practice location

2640 Cold Spring Rd
Indianapolis, IN 46222-2272

Mailing address

701 N Federal Hwy Ste 501
Hallandale Beach, FL 33009-2467

NPI Registry JSON

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

{
    "created_epoch": "1787875200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1787875200000",
    "number": "1972411254",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "701 N FEDERAL HWY STE 501",
            "city": "HALLANDALE BEACH",
            "state": "FL",
            "postal_code": "330092467"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2640 COLD SPRING RD",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462222272",
            "telephone_number": "317-923-1518"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEPHROLOGY CLINICAL SOLUTIONS INDIANA, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-08-28",
        "last_updated": "2026-08-28",
        "certification_date": "2026-08-28",
        "status": "A",
        "authorized_official_last_name": "JARQUIN",
        "authorized_official_first_name": "ERIC",
        "authorized_official_title_or_position": "FINANCIAL CONTROLLER",
        "authorized_official_telephone_number": "954-651-8332"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Nephrology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Aug 28, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.