MEDICARE: ISD RENAL INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261QE0700X	End-Stage Renal Disease (ESRD) Treatment Clinic/Center

General Provider Information

NPI Number	:	1205366416
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ISD RENAL INC

Provider Business Mailing Address
First Line	:	5200 VIRGINIA WAY
Second Line	:	L&C DEPARTMENT
City	:	BRENTWOOD
State	:	TN
Zip	:	37027-7569
Country	:	US
Telephone Number	:	615-320-4514
Fax Number	:	866-594-9961

Provider Business Practice Location Address
First Line	:	1218 N PENNSYLVANIA ST
Second Line	:
City	:	INDIANAPOLIS
State	:	IN
Zip	:	46202-2411
Country	:	US
Telephone Number	:	317-686-0548
Fax Number	:	317-635-7559

Authorized Official
Title or Position	:	CHIEF ACCOUNTING OFFICER
Name	:	JOHN D WINSTEL
Credential	:
Telephone Number	:	253-733-4501

Provider Enumeration Date	:	06/20/2017
Last Update Date	:	06/10/2021

Similar Medicare Providers

1891570222 — TIFFANY R HOGAN RN
Practice Location Address:

2921 E 10TH ST
INDIANAPOLIS, IN
46201-2411

Practice Phone: 317-992-3236
Practice Fax:

1609633056 — H&R HOME HEALTH CARE, LLC
Practice Location Address:

2921 E 10TH ST
INDIANAPOLIS, IN
46201-2411

Practice Phone: 317-205-4459
Practice Fax:

1861943532 — EBONY N HANNAH AGCNS-BC
Practice Location Address:

1481 W 10TH ST
INDIANAPOLIS, IN
46202-2803

Practice Phone: 317-988-2411
Practice Fax:

1982379665 — EMMA METZ
Practice Location Address:

975 W WALNUT ST # IB-130
INDIANAPOLIS, IN
46202-5181

Practice Phone: 417-360-0433
Practice Fax: 317-968-1354

1053392845 — SSM HEALTH CARE OF WISCONSIN, INC.
Practice Location Address:

1600 JEFFERSON ST
BARABOO, WI
53913-1542

Practice Phone: 608-356-1400
Practice Fax:

1235103599 — DVA RENAL HEALTHCARE INC
Practice Location Address:

3126 PROFESSIONAL DR , STE 100
AUBURN, CA
95603-2411

Practice Phone: 530-886-8221
Practice Fax: 530-886-8608

Directions to “ISD RENAL INC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2025 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.