Organization Active NPI

United Renal Services PLLC

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Woodridge, IL
National Provider Identifier
1093413544
Registry record updated Aug 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
End-Stage Renal Disease (ESRD) Treatment Clinic/CenterTaxonomy code 261QE0700X
Legal business name
UNITED RENAL SERVICES PLLC
Practice address
7530 Woodward Ave
Woodridge, IL 60517-3100
Phone
(630) 378-8000
Fax
(630) 378-8004
NPI assigned
Feb 22, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 30, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Umang S PatelNPI 1265548077
Title
Director
Phone
(630) 721-6721

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
End-Stage Renal Disease (ESRD) Treatment Clinic/Center 261QE0700X Primary

Addresses

Primary practice location

7530 Woodward Ave
Woodridge, IL 60517-3100

Mailing address

7530 Woodward Ave Ste P
Woodridge, IL 60517-3175
Phone (630) 378-8000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230412000502 IL Part A Provider - End-Stage Renal Disease Facility (ESRD) 8527433242 Practice locations: Woodridge, IL

Care Compare: Dialysis facility

Medicare Care Compare
Listed as
United Renal ServicesCCN 142885
Ownership
Profit
Certified
Jul 22, 2024
Medicare certification status
ActiveFrom the Provider of Services file
Dialysis stations
1

Name & address match This facility record has no NPI; it was connected to this NPI by matching name and address.

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
14D2289510United Renal Services LLC7530 S Woodward Ave #G, Woodridge, IL 60517Certificate of waiverSep 11, 2027

National Provider Directory

National Provider Directory

Locations

7530 Woodward Ave
Ste G
Woodridge, IL 60517
Phone (630) 910-8227

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1677024000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1724976000000",
    "number": "1093413544",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7530 WOODWARD AVE STE P",
            "city": "WOODRIDGE",
            "state": "IL",
            "postal_code": "605173175",
            "telephone_number": "630-378-8000",
            "fax_number": "630-378-8004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7530 WOODWARD AVE",
            "city": "WOODRIDGE",
            "state": "IL",
            "postal_code": "605173100",
            "telephone_number": "630-378-8000",
            "fax_number": "630-378-8004"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNITED RENAL SERVICES PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-02-22",
        "last_updated": "2024-08-30",
        "certification_date": "2024-08-30",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "UMANG",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "630-721-6721",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "261QE0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, End-Stage Renal Disease (ESRD) Treatment",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Woodridge, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.