Kidney Care Patient and Doctor

Specialized Expertise

For over 40 years, our medical team has provided treatment of Chronic Kidney Disease to patients with kidney disease in our community. Our nephrologists have been committed to recruiting well trained physicians and staff while working with other entities to develop many innovative care concepts.

Vascular Access

At Nephrology Physicians, we're devoted to the continuing care and treatment of our End-Stage Renal Disease (ESRD) population. We work with many dialysis centers in the Michiana region and will make sure that your dialysis center stays up to date on the health of your access. Whether you have an arteriovenous fistula, arteriovenous graft, peritoneal dialysis catheter, or dialysis catheter, we have the proven treatments to ensure that your dialysis access will function safely and smoothly. Learn more about our treatments.


Abnormally high arterial blood pressure is commonly referred to as hypertension and creates the "condition" referred to by the same name. Chronic Hypertension impacts many of your body's organs including damage to your kidneys. Kidneys play a critical role in keeping your blood pressure within normal ranges, therefore, CKD and high blood pressure need to be evaluated together. All of our nephrologists have expertise in evaluating and managing complex hypertension and Drs. Eskapalli, Vyakaranam and Kitbhoka have achieved certification as Hypertension Specialists.

Nephrology Patient and Doctor

Electrolyte & Mineral Disorders

The kidneys are involved in regulating all of the body's minerals. Our team specializes in evaluating and managing disorders of sodium, potassium, calcium, phosphorus, and magnesium. Your physician would detect these disorders through a review of your laboratory results.

Stone Clinic

Kidney stones include a variety of small, rock-like particles that form in your kidneys. Our nephrologists specialize in identifying the type of stone causing you discomfort and recommending treatment to prevent formation of more stones. The most common stone type is calcium oxalate.

Things you can do to reduce your chances for developing new kidney stones of this type include:
  • Following a low oxalate diet.
  • Increasing your fluid intake to the recommended eight (8) glasses of water each day.
  • Maintaining the recommended dietary intake of calcium each day.


Nephrology Physicians works closely with transplant teams in Illinois and Michigan in addition to a unique partnership with the Indiana University Medical Center, Department of Transplant Services in Indianapolis. The IUMC team, a national leader in kidney transplants, visits our Mishawaka office monthly for convenient, local patient access to top transplant care. This arrangement provides education and assessment prior to surgery and post transplant follow-up care. This option significantly reduces travel requirements for our transplant patients and improves the coordination of your care with your nephrologist. To learn more about the IUMC program, visit

Anemia Management

Patients with Chronic Kidney Disease (CKD) often develop anemia (low hemoglobin) related to the underproduction of EPO and relative iron deficiency. Our team has expertise in managing the anemia of CKD.

IV Venofer
IV Venofer (Iron) is administered in the office to treat iron deficiency. To learn more about this product, visit

Aranesp is an Erythropoiesis-Stimulating Agent administered in our office, typically on a monthly basis. The amount of Aranesp given is determined by your hemoglobin level. The treatment goal is to maintain a hemoglobin between 10-11 gm/dl. To learn more about this product visit


Several immunizations or vaccines may be recommended by your nephrologist or nurse practitioner. These can be provided in our office. Some may also be available during your visit to your primary care physician, or through retail or other health agencies during public health campaigns such as the fall flu initiatives:
  • Influenza (Flu) Vaccine
  • Pneumovax (Pneumonia) Vaccine
  • Hepatits B Vaccine