THREE RIVERS DIALYSIS
NPI 1659796233
Clinic/Center - End-Stage Renal Disease (ESRD) Treatment in Fort Wayne, IN

Q: What is Randolph Dialysis LLC's NPI number?

The NPI number for Randolph Dialysis LLC is 1659796233. It was assigned to this organization in the NPPES registry on February 19, 2014. The provider is doing business as Three Rivers Dialysis.

Q: What is Randolph 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.

Q: What quality rating does Randolph Dialysis LLC have?

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

Active since February 19, 2014CLIA 15D2106423 · Waiver

3/5

Overall Rating

6721 OLD TRAIL RD, STE 100, FORT WAYNE, IN 46809(260) 478-8582(260) 478-8566 Get Directions Write a Review

NPPES record last updated: December 15, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Dec 15, 2022, Feb 26, 2021, Nov 6, 2019 and 1 more (4 updates tracked since 2017).

On this page

About Three Rivers Dialysis NPPES

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

THREE RIVERS DIALYSIS (NPI 1659796233) is a healthcare organization registered as an end-stage renal disease (esrd) treatment in Fort Wayne, Indiana and active in the NPI registry since February 2014. The organization holds a CLIA Waiver certificate valid through December 16, 2027 and lists John Winstel, Chief Accounting Officer, as its authorized official.

NPPES Registry Identity

NPI1659796233

Entity TypeOrganization

Primary Taxonomy261QE0700X

Legal Business NameRANDOLPH DIALYSIS LLC

Location Address6721 OLD TRAIL RD, STE 100Fort Wayne, IN 46809-2655

Mailing Address5200 Virginia Way, L&c DeptBrentwood, TN 37027-7569 · (615) 320-4514 · Fax (866) 594-9961

Phone(260) 478-8582

Fax(260) 478-8566

Organization SubpartNo

Authorized OfficialJohn WinstelChief Accounting Officer · (253) 733-4501

Enumeration DateFebruary 19, 2014

Last NPPES UpdateDecember 15, 20224 updates tracked since enumeration

NPPES CertifiedDecember 15, 2022

✔ NPI 1659796233 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

6721 OLD TRAIL RD, Fort Wayne, IN 46809

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Other Names 1

Doing Business AsThree Rivers Dialysis

Other Identifiers 1

Medicaid300009689AIN

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 15D2106423

Three Rivers Dialysis · Fort Wayne, IN

Active · expires Dec 16, 2027

CLIA Number15D2106423

Laboratory TypeEnd Stage Renal Disease Dialysis Facility

Certificate Effective DateDecember 17, 2025

Certificate Expiration DateDecember 16, 2027

Laboratory DirectorBadal Raval

Laboratory Phone(260) 478-8582

Laboratory LocationThree Rivers Dialysis6721 Old Trail Rd, Fort Wayne, IN 46809

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 Three Rivers Dialysis (CMS certification number 152676), from CMS Care Compare.

DaVita Three Rivers Dialysis

Dialysis facility · Fort Wayne, IN

3/5 CMS RatingRating period January 2020 to December 2023

OwnershipProfit

ChainDaVita

CMS Certification Number152676

ESRD NetworkNetwork 9

Hemodialysis Stations12

Medicare-Certified SinceNovember 2, 2016

Location6721 Old Trail Road STE 100Fort Wayne, IN 46809 · Allen County

Phone(260) 478-8582

Services Offered

In-center hemodialysis Peritoneal dialysis

Patient Survey Results

Nephrologists’ communication and caring

Patients who reported their kidney doctors always communicated well and cared for them as a person.

71% 5/5

Dialysis center care and operations

Patients who reported center staff always communicated well, kept them as comfortable as possible, behaved professionally and kept the center clean.

74% 4/5

Providing information to patients

Patients who reported their kidney doctors and center staff gave them the information they needed to care for their health.

95% 5/5

Rating of the kidney doctors

Patients who rated their kidney doctors 9 or 10 on a scale of 0 (worst) to 10 (best).

53% 3/5

Rating of the dialysis center staff

Patients who rated the center staff 9 or 10 on a scale of 0 (worst) to 10 (best).

78% 5/5

Rating of the dialysis center

Patients who rated the dialysis center 9 or 10 on a scale of 0 (worst) to 10 (best).

84% 5/5

Percentages are patients giving the best possible responses in the In-Center Hemodialysis (ICH CAHPS) patient survey. Star ratings are assigned by CMS on a one-to-five star scale; five is the highest.

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 Randolph Dialysis LLC's NPI number?

The NPI number for Randolph Dialysis LLC is 1659796233. It was assigned to this organization in the NPPES registry on February 19, 2014. The provider is doing business as Three Rivers Dialysis.

Where is Randolph Dialysis LLC located?

Randolph Dialysis LLC is located at 6721 Old Trail Rd Ste 100, Fort Wayne, IN 46809. The listed phone number is (260) 478-8582.

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

Yes. A Certificate of Waiver (number 15D2106423) is associated with this NPI, valid through December 16, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

Is Randolph Dialysis LLC a Medicare-certified dialysis facility?

Yes. DaVita Three Rivers Dialysis is a Medicare-certified dialysis facility, certified since November 2, 2016.

What quality rating does Randolph Dialysis LLC have?

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

What insurance does Randolph 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 Randolph 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 Randolph Dialysis LLC was last updated on December 15, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.