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FORT WAYNE NORTH DIALYSIS
NPI 1558716019
Clinic/Center - End-Stage Renal Disease (ESRD) Treatment in Fort Wayne, IN

Active since May 03, 2016CLIA 15D2117939 · Waiver
3/5
Overall Rating
415 E DUPONT RD, FORT WAYNE, IN 46825(260) 637-0431(260) 637-6641 Get Directions Write a Review

NPPES record last updated: April 5, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Apr 5, 2024, Jul 7, 2022, Jul 14, 2021 and 2 more (5 updates tracked since 2016).

About Fort Wayne North Dialysis NPPES

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

FORT WAYNE NORTH DIALYSIS (NPI 1558716019) is a healthcare organization registered as an end-stage renal disease (esrd) treatment in Fort Wayne, Indiana and active in the NPI registry since May 2016. The organization holds a CLIA Waiver certificate valid through August 25, 2026 and lists Samuel T Wey, Vp Licensure & Certification, as its authorized official.

NPPES Registry Identity

NPI1558716019
Entity TypeOrganization
Primary Taxonomy261QE0700X
Legal Business NameDUSTON DIALYSIS, LLC
Location Address415 E DUPONT RDFort Wayne, IN 46825-2051
Mailing Address5200 Virginia Way, Att: L&c DeptBrentwood, TN 37027-7569
Phone(260) 637-0431
Fax(260) 637-6641
Organization SubpartNo
Authorized OfficialSamuel T WeyVp Licensure & Certification · (615) 341-6641
Enumeration DateMay 3, 2016
Last NPPES UpdateApril 5, 20245 updates tracked since enumeration
NPPES CertifiedApril 3, 2024
✔ NPI 1558716019 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
415 E DUPONT RD, Fort Wayne, IN 46825
Open in Google Maps ↗

Other Names 1

Doing Business AsFort Wayne North Dialysis

Other Identifiers 1

Medicaid300010335IN

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 15D2117939

Duston Dialysis, LLC D/B/A Fort Wayne North Dialysis · Fort Wayne, IN
Active · expires Aug 25, 2026
CLIA Number15D2117939
Laboratory TypeEnd Stage Renal Disease Dialysis Facility
Certificate Effective DateAugust 26, 2024
Certificate Expiration DateAugust 25, 2026
Laboratory DirectorIrfan Munir
Laboratory Phone(260) 637-0431
Laboratory LocationDuston Dialysis, LLC D/B/A Fort Wayne North Dialysis415 E Dupont Rd, Fort Wayne, IN 46825
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 North Dialysis (CMS certification number 152681), from CMS Care Compare.

DaVita Fort Wayne North Dialysis

Dialysis facility · Fort Wayne, IN
3/5 CMS RatingRating period January 2020 to December 2023
OwnershipProfit
ChainDaVita
CMS Certification Number152681
ESRD NetworkNetwork 9
Hemodialysis Stations13
Medicare-Certified SinceJuly 10, 2017
Location415 E Dupont RoadFort Wayne, IN 46825 · Allen County
Phone(260) 637-0431
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 Duston Dialysis, LLC's NPI number?

The NPI number for Duston Dialysis, LLC is 1558716019. It was assigned to this organization in the NPPES registry on May 3, 2016. The provider is doing business as Fort Wayne North Dialysis.

Where is Duston Dialysis, LLC located?

Duston Dialysis, LLC is located at 415 E Dupont Rd, Fort Wayne, IN 46825. The listed phone number is (260) 637-0431.

What is Duston 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 Duston Dialysis, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 15D2117939) is associated with this NPI, valid through August 25, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

Is Duston Dialysis, LLC a Medicare-certified dialysis facility?

Yes. DaVita Fort Wayne North Dialysis is a Medicare-certified dialysis facility, certified since July 10, 2017.

What quality rating does Duston Dialysis, LLC have?

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

What insurance does Duston 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 Duston 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 Duston Dialysis, LLC was last updated on April 5, 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.