Isd Renal Inc
NPI 1174579551 · End-Stage Renal Disease (ESRD) Treatment Clinic/Center · Fort Wayne, IN
Isd Renal Inc is a End-Stage Renal Disease (ESRD) Treatment Clinic/Center organization in Fort Wayne, IN (NPI 1174579551).
Provider details
- NPI number
- 1174579551
- Entity type
- Organization
- Primary specialty
- End-Stage Renal Disease (ESRD) Treatment Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- James Hilger, Chief Accounting Officer(253) 272-1916
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
20 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Other names (DBA / former)
- Doing business as
- Lake Avenue Dialysis
Registry dates
- Enumerated
- 2006-05-26
- Last updated
- 2012-07-03
Frequently asked questions
- What is Isd Renal Inc's NPI number?
- Isd Renal Inc's National Provider Identifier (NPI) is 1174579551, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Isd Renal Inc?
- Isd Renal Inc is classified in the NPPES registry as End-Stage Renal Disease (ESRD) Treatment Clinic/Center (Ambulatory Health Care Facilities).
- Where is Isd Renal Inc located?
- Isd Renal Inc's practice location on file with NPPES is 3909 Lake Ave, Fort Wayne, IN 46805-5545.
- What is Isd Renal Inc's phone number?
- The practice phone number listed in the NPPES registry for Isd Renal Inc is (260) 420-2666.
- Who is the authorized official for Isd Renal Inc?
- The authorized official listed on Isd Renal Inc's NPPES record is James Hilger, Chief Accounting Officer. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Isd Renal Inc's NPI active?
- Yes — Isd Renal Inc's NPI (1174579551) is active in the NPPES registry as of the last update on 2012-07-03.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.