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SCOTTSBURG DIALYSIS
NPI 1568778058
Clinic/Center - End-Stage Renal Disease (ESRD) Treatment in Scottsburg, IN

Active since August 23, 2010CLIA 15D2015923 · Waiver
3/5
Overall Rating
1619 W MCCLAIN AVE, SCOTTSBURG, IN 47170(812) 752-5249(812) 752-6313 Get Directions Write a Review

NPPES record last updated: January 11, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jan 11, 2022, Mar 19, 2020, Sep 12, 2018 and 3 more (6 updates tracked since 2015).

About Scottsburg Dialysis NPPES

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

SCOTTSBURG DIALYSIS (NPI 1568778058) is a healthcare organization registered as an end-stage renal disease (esrd) treatment in Scottsburg, Indiana and active in the NPI registry since August 2010. The organization holds a CLIA Waiver certificate valid through November 7, 2026 and lists John D Winstel, Chief Accounting Officer, as its authorized official.

NPPES Registry Identity

NPI1568778058
Entity TypeOrganization
Primary Taxonomy261QE0700X
Legal Business NameGARDENSIDE DIALYSIS LLC
Location Address1619 W MCCLAIN AVEScottsburg, IN 47170-1161
Mailing Address5200 Virginia Way, L & C DeptBrentwood, TN 37027-7569 · (615) 320-4514 · Fax (866) 594-9961
Phone(812) 752-5249
Fax(812) 752-6313
Organization SubpartNo
Authorized OfficialJohn D WinstelChief Accounting Officer · (253) 733-4501
Enumeration DateAugust 23, 2010
Last NPPES UpdateJanuary 11, 20226 updates tracked since enumeration
NPPES CertifiedJanuary 11, 2022
✔ NPI 1568778058 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
1619 W MCCLAIN AVE, Scottsburg, IN 47170
Open in Google Maps ↗

Other Names 1

Doing Business AsScottsburg Dialysis

Other Identifiers 1

Medicaid201021380AIN

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 15D2015923

Scottsburg Dialysis · Scottsburg, IN
Active · expires Nov 7, 2026
CLIA Number15D2015923
Laboratory TypeEnd Stage Renal Disease Dialysis Facility
Certificate Effective DateNovember 8, 2024
Certificate Expiration DateNovember 7, 2026
Laboratory DirectorMuad A. Maya
Laboratory Phone(812) 752-5249
Laboratory LocationScottsburg Dialysis1619 W Mcclain Ave, Scottsburg, IN 47170
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 Scottsburg Dialysis (CMS certification number 152646), from CMS Care Compare.

DaVita Scottsburg Dialysis

Dialysis facility · Scottsburg, IN
3/5 CMS RatingRating period January 2020 to December 2023
OwnershipProfit
ChainDaVita
CMS Certification Number152646
ESRD NetworkNetwork 9
Hemodialysis Stations8
Medicare-Certified SinceJuly 7, 2011
Location1619 W. MCCLAIN AVE.Scottsburg, IN 47170 · Scott County
Phone(812) 752-5249
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 Gardenside Dialysis LLC's NPI number?

The NPI number for Gardenside Dialysis LLC is 1568778058. It was assigned to this organization in the NPPES registry on August 23, 2010. The provider is doing business as Scottsburg Dialysis.

Where is Gardenside Dialysis LLC located?

Gardenside Dialysis LLC is located at 1619 W Mcclain Ave, Scottsburg, IN 47170. The listed phone number is (812) 752-5249.

What is Gardenside 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 Gardenside Dialysis LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 15D2015923) is associated with this NPI, valid through November 7, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

Is Gardenside Dialysis LLC a Medicare-certified dialysis facility?

Yes. DaVita Scottsburg Dialysis is a Medicare-certified dialysis facility, certified since July 7, 2011.

What quality rating does Gardenside Dialysis LLC have?

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

What insurance does Gardenside 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 Gardenside 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 Gardenside Dialysis LLC was last updated on January 11, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.