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FORT WAYNE SOUTH DIALYSIS
NPI 1003119876
Clinic/Center - End-Stage Renal Disease (ESRD) Treatment in Fort Wayne, IN

Active since December 16, 2010CLIA 15D2022385 · Waiver
3/5
Overall Rating
302 E PETTIT AVE, FORT WAYNE, IN 46806(260) 456-0451(260) 458-9269 Get Directions Write a Review

NPPES record last updated: November 17, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Nov 17, 2021, Aug 24, 2020, Dec 3, 2019 and 2 more (5 updates tracked since 2015).

About Fort Wayne South Dialysis NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

FORT WAYNE SOUTH DIALYSIS (NPI 1003119876) is a healthcare organization registered as an end-stage renal disease (esrd) treatment in Fort Wayne, Indiana and active in the NPI registry since December 2010. The organization holds a CLIA Waiver certificate valid through March 31, 2027 and lists John D Winstel, Chief Accounting Officer, as its authorized official.

NPPES Registry Identity

NPI1003119876
Entity TypeOrganization
Primary Taxonomy261QE0700X
Legal Business NameBRIDGES DIALYSIS LLC
Location Address302 E PETTIT AVEFort Wayne, IN 46806-3007
Mailing Address5200 Virginia Way, L&c DeptBrentwood, TN 37027-7569 · (615) 320-4514 · Fax (866) 594-9961
Phone(260) 456-0451
Fax(260) 458-9269
Organization SubpartNo
Authorized OfficialJohn D WinstelChief Accounting Officer · (253) 733-4501
Enumeration DateDecember 16, 2010
Last NPPES UpdateNovember 17, 20215 updates tracked since enumeration
NPPES CertifiedNovember 17, 2021
✔ NPI 1003119876 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · End-Stage Renal Disease (ESRD) TreatmentAmbulatory Health Care Facilities
Taxonomy Code261QE0700X
302 E PETTIT AVE, Fort Wayne, IN 46806
Open in Google Maps ↗

Other Names 1

Doing Business AsFort Wayne South Dialysis

Other Identifiers 1

Medicaid201048390AIN

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.Insurance ›

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 15D2022385

Fort Wayne South Dialysis · Fort Wayne, IN
Active · expires Mar 31, 2027
CLIA Number15D2022385
Laboratory TypeEnd Stage Renal Disease Dialysis Facility
Certificate Effective DateApril 1, 2025
Certificate Expiration DateMarch 31, 2027
Laboratory DirectorIrfan Munir
Laboratory Phone(260) 456-0451
Laboratory LocationFort Wayne South Dialysis302 E Pettit Ave, Fort Wayne, IN 46806
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Dialysis Facility Quality Ratings CMS Care Compare

Quality ratings, services and patient survey results for DaVita Fort Wayne South (CMS certification number 152647), from CMS Care Compare.

DaVita Fort Wayne South

Dialysis facility · Fort Wayne, IN
3/5 CMS RatingRating period January 2020 to December 2023
OwnershipProfit
ChainDaVita
CMS Certification Number152647
ESRD NetworkNetwork 9
Hemodialysis Stations20
Medicare-Certified SinceOctober 12, 2011
Location302 E. PETTIT AVE.Fort Wayne, IN 46806 · Allen County
Phone(260) 456-0451
Services Offered
In-center hemodialysis

Patient Survey Results

Nephrologists’ communication and caring
Patients who reported their kidney doctors always communicated well and cared for them as a person.
62% 2/5
Dialysis center care and operations
Patients who reported center staff always communicated well, kept them as comfortable as possible, behaved professionally and kept the center clean.
68% 4/5
Providing information to patients
Patients who reported their kidney doctors and center staff gave them the information they needed to care for their health.
76% 2/5
Rating of the kidney doctors
Patients who rated their kidney doctors 9 or 10 on a scale of 0 (worst) to 10 (best).
45% 2/5
Rating of the dialysis center staff
Patients who rated the center staff 9 or 10 on a scale of 0 (worst) to 10 (best).
71% 4/5
Rating of the dialysis center
Patients who rated the dialysis center 9 or 10 on a scale of 0 (worst) to 10 (best).
73% 3/5
Percentages are patients giving the best possible responses in the In-Center Hemodialysis (ICH CAHPS) patient survey. Star ratings are assigned by CMS on a one-to-five star scale; five is the highest.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Bridges Dialysis LLC's NPI number?

The NPI number for Bridges Dialysis LLC is 1003119876. It was assigned to this organization in the NPPES registry on December 16, 2010. The provider is doing business as Fort Wayne South Dialysis.

Where is Bridges Dialysis LLC located?

Bridges Dialysis LLC is located at 302 E Pettit Ave, Fort Wayne, IN 46806. The listed phone number is (260) 456-0451.

What is Bridges Dialysis LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in End-Stage Renal Disease (ESRD) Treatment, with taxonomy code 261QE0700X.

Does Bridges Dialysis LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 15D2022385) is associated with this NPI, valid through March 31, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

Is Bridges Dialysis LLC a Medicare-certified dialysis facility?

Yes. DaVita Fort Wayne South is a Medicare-certified dialysis facility, certified since October 12, 2011.

What quality rating does Bridges Dialysis LLC have?

CMS rates DaVita Fort Wayne South 3 out of 5 stars on Care Compare. The full measure detail is in the Dialysis Facility Quality section above.

What insurance does Bridges Dialysis LLC accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and CareSource and 1 other insurer list Bridges Dialysis LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Bridges Dialysis LLC was last updated on November 17, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.