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MISHAWAKA DIALYSIS
NPI 1376984443
Clinic/Center - End-Stage Renal Disease (ESRD) Treatment in Mishawaka, IN

Active since July 17, 2013
1420 TRINITY PL, MISHAWAKA, IN 46545(574) 231-7204(574) 231-7205 Get Directions Write a Review

NPPES record last updated: May 23, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jun 15, 2021, Jul 18, 2019, Jul 1, 2019 (3 updates tracked since 2019).

About Mishawaka Dialysis NPPES

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

MISHAWAKA DIALYSIS (NPI 1376984443) is a healthcare organization registered as an end-stage renal disease (esrd) treatment in Mishawaka, Indiana and active in the NPI registry since July 2013. The organization lists Samuel T Wey, Vp Licensure & Certification, as its authorized official.

NPPES Registry Identity

NPI1376984443
Entity TypeOrganization
Primary Taxonomy261QE0700X
Legal Business NameROUSHE DIALYSIS LLC
Location Address1420 TRINITY PLMishawaka, IN 46545-5005
Mailing Address5200 Virginia Way, Att: L&c DeptBrentwood, TN 37027-7569
Phone(574) 231-7204
Fax(574) 231-7205
Organization SubpartNo
Authorized OfficialSamuel T WeyVp Licensure & Certification · (615) 341-6641
Enumeration DateJuly 17, 2013
Last NPPES UpdateMay 23, 20243 updates tracked since enumeration
NPPES CertifiedMay 23, 2024
✔ NPI 1376984443 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
1420 TRINITY PL, Mishawaka, IN 46545
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Other Names 1

Doing Business AsMishawaka Dialysis

Other Identifiers 1

Medicaid201228810AIN

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 ›

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

TOTAL RENAL CARE INC
Clinic/Center (End-Stage Renal Disease (ESRD) Treatment)
1420 TRINITY PL
MISHAWAKA, IN 46545
St. Joseph County (574) 243-3764

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 Roushe Dialysis LLC's NPI number?

The NPI number for Roushe Dialysis LLC is 1376984443. It was assigned to this organization in the NPPES registry on July 17, 2013. The provider is doing business as Mishawaka Dialysis.

Where is Roushe Dialysis LLC located?

Roushe Dialysis LLC is located at 1420 Trinity Pl, Mishawaka, IN 46545. The listed phone number is (574) 231-7204.

What is Roushe 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.

What insurance does Roushe 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 2 other insurers list Roushe 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 Roushe Dialysis LLC was last updated on May 23, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years 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.