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SPEEDWAY DIALYSIS
NPI 1174006662
Clinic/Center - End-Stage Renal Disease (ESRD) Treatment in Indianapolis, IN

Active since September 11, 2018CLIA 15D2156365 · Waiver
3/5
Overall Rating
2636 W MICHIGAN ST, INDIANAPOLIS, IN 46222(317) 423-0956(317) 423-0868 Get Directions Write a Review

NPPES record last updated: October 24, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Mar 4, 2024, Nov 15, 2023, Oct 30, 2020 and 2 more (5 updates tracked since 2018).

About Speedway Dialysis NPPES

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

SPEEDWAY DIALYSIS (NPI 1174006662) is a healthcare organization registered as an end-stage renal disease (esrd) treatment in Indianapolis, Indiana and active in the NPI registry since September 2018. The organization holds a CLIA Waiver certificate valid through October 15, 2026 and lists Samuel T Wey, Vp Licensure&certification, as its authorized official.

NPPES Registry Identity

NPI1174006662
Entity TypeOrganization
Primary Taxonomy261QE0700X
Legal Business NameISD RENAL INC
Location Address2636 W MICHIGAN STIndianapolis, IN 46222-3727
Mailing Address5200 Virginia Way, L&c DepartmentBrentwood, TN 37027-7569
Phone(317) 423-0956
Fax(317) 423-0868
Organization SubpartNo
Authorized OfficialSamuel T WeyVp Licensure&certification · (615) 341-6641
Enumeration DateSeptember 11, 2018
Last NPPES UpdateOctober 24, 20245 updates tracked since enumeration
NPPES CertifiedOctober 24, 2024
✔ NPI 1174006662 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
2636 W MICHIGAN ST, Indianapolis, IN 46222
Open in Google Maps ↗

Other Names 1

Doing Business AsSpeedway Dialysis

Other Identifiers 1

Medicaid300024959IN

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 15D2156365

Speedway Dialysis · Indianapolis, IN
Active · expires Oct 15, 2026
CLIA Number15D2156365
Laboratory TypeEnd Stage Renal Disease Dialysis Facility
Certificate Effective DateOctober 16, 2024
Certificate Expiration DateOctober 15, 2026
Laboratory DirectorChad A. Zarse
Laboratory Phone(317) 423-0956
Laboratory LocationSpeedway Dialysis2636 W Michigan St, Indianapolis, IN 46222
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 Speedway Dialysis (CMS certification number 152700), from CMS Care Compare.

DaVita Speedway Dialysis

Dialysis facility · Indianapolis, IN
3/5 CMS RatingRating period January 2020 to December 2023
OwnershipProfit
ChainDaVita
CMS Certification Number152700
ESRD NetworkNetwork 9
Hemodialysis Stations13
Medicare-Certified SinceFebruary 13, 2019
Location2636 W. Michigan St.Indianapolis, IN 46222 · Marion County
Phone(317) 423-0956
Services Offered
In-center hemodialysis

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 Isd Renal Inc's NPI number?

The NPI number for Isd Renal Inc is 1174006662. It was assigned to this organization in the NPPES registry on September 11, 2018. The provider is doing business as Speedway Dialysis.

Where is Isd Renal Inc located?

Isd Renal Inc is located at 2636 W Michigan St, Indianapolis, IN 46222. The listed phone number is (317) 423-0956.

What is Isd Renal Inc'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 Isd Renal Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 15D2156365) is associated with this NPI, valid through October 15, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

Is Isd Renal Inc a Medicare-certified dialysis facility?

Yes. DaVita Speedway Dialysis is a Medicare-certified dialysis facility, certified since February 13, 2019.

What quality rating does Isd Renal Inc have?

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

What insurance does Isd Renal Inc 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 Isd Renal Inc 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 Isd Renal Inc was last updated on October 24, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.