OrganizationActive
Dsi Renal Inc
NPI 1639124886 · End-Stage Renal Disease (ESRD) Treatment Clinic/Center · Fort Wayne, IN
Provider details
- NPI number
- 1639124886
- Entity type
- Organization
- Primary specialty
- End-Stage Renal Disease (ESRD) Treatment Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Gretchen Barr, Vp of Reimbursement(615) 467-0134
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Detailed profile(91/100 index)
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
2414 Lake Ave
Fort Wayne, IN 46805-5406
Phone: (260) 420-7666
Fax: (260) 424-2036
Street-level locationGet directions
Mailing address
511 Union St
Nashville, TN 37219-1733
Other names (DBA / former)
- Doing business as
- Nri Lake Avenue Home
Registry dates
- Enumerated
- 2006-05-24
- Last updated
- 2008-02-06
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.