RENVIVA DIALYSIS CENTER OF INDIANAPOLIS LLC
NPI 1457114514
Clinic/Center - End-Stage Renal Disease (ESRD) Treatment in Indianapolis, IN

Active since February 01, 2024CLIA 15D2306256 · Waiver
5550 S EAST ST STE A, INDIANAPOLIS, IN 46227(317) 734-3431 Get Directions Write a Review

NPPES record last updated: June 20, 2024. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Renviva Dialysis Center Of Indianapolis Llc NPPES

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

RENVIVA DIALYSIS CENTER OF INDIANAPOLIS LLC (NPI 1457114514) is a healthcare organization registered as an end-stage renal disease (esrd) treatment in Indianapolis, Indiana and active in the NPI registry since February 2024. The organization holds a CLIA Waiver certificate valid through June 12, 2028 and lists Akinyinka Awosika, Member Manager, as its authorized official.

NPPES Registry Identity

NPI1457114514
Entity TypeOrganization
Primary Taxonomy261QE0700X
Legal Business NameRENVIVA DIALYSIS CENTER OF INDIANAPOLIS LLC
Location Address5550 S EAST ST STE AIndianapolis, IN 46227-1991
Mailing Address5550 S East St Ste AIndianapolis, IN 46227-1991 · (317) 734-3431
Organization SubpartNo
Authorized OfficialAkinyinka AwosikaMember Manager · (321) 710-0352
Enumeration DateFebruary 1, 2024
Last NPPES UpdateJune 20, 2024
NPPES CertifiedJune 20, 2024
✔ NPI 1457114514 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
5550 S EAST ST STE A, Indianapolis, IN 46227

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 15D2306256

Renviva Dialysis Center Of Indianapolis LLC · Indianapolis, IN
Active · expires Jun 12, 2028
CLIA Number15D2306256
Laboratory TypeEnd Stage Renal Disease Dialysis Facility
Certificate Effective DateJune 13, 2026
Certificate Expiration DateJune 12, 2028
Laboratory DirectorNadeem Najam
Laboratory Phone(229) 421-5452
Laboratory LocationRenviva Dialysis Center Of Indianapolis LLC5550 S East St, Indianapolis, IN 46227
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

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 Renviva Dialysis Center Of Indianapolis LLC's NPI number?

The NPI number for Renviva Dialysis Center Of Indianapolis LLC is 1457114514. It was assigned to this organization in the NPPES registry on February 1, 2024.

Where is Renviva Dialysis Center Of Indianapolis LLC located?

Renviva Dialysis Center Of Indianapolis LLC is located at 5550 S East St Ste A, Indianapolis, IN 46227. The listed phone number is (317) 734-3431.

What is Renviva Dialysis Center Of Indianapolis 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 Renviva Dialysis Center Of Indianapolis LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 15D2306256) is associated with this NPI, valid through June 12, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Renviva Dialysis Center Of Indianapolis LLC was last updated on June 20, 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.