Active NPI
Southwest Nephrology Associates, S.C.
- Ambulatory Surgical Clinic/Center
- Orland Park, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulatory Surgical Clinic/Center
- Legal business name
- SOUTHWEST NEPHROLOGY ASSOCIATES, S.C.
- Practice address
- 16605 107TH St
Orland Park, IL 60467-9016 - Phone
- (708) 226-9860
- NPI assigned
- Sep 22, 2006
- Last updated
- Feb 4, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Naomi Cassin
- Title
- Credentialing Manager
- Phone
- (331) 216-1156
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ambulatory Surgical Clinic/Center | 261QA1903X | Primary | ||
| Nephrology Physician | 207RN0300X | 042618498 | IL |
Addresses
Primary practice location
16605 107TH St
Orland Park, IL 60467-9016
Mailing address
120 W 22ND St
Ste 200
Oak Brook, IL 60523-1563
Phone (630) 573-5000
Other practice location 1
9125 S Pulaski Rd
Evergreen Park, IL 60805-1441
Phone (708) 422-7715
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | credentialing@nephdocs.com | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
Enrollment records 1
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 14D0419880 | Southwest Nephrology Associates SC | Certificate of waiver | Aug 31, 2026 |
| 14D1030529 | Southwest Nephrology Associates SC | Certificate of waiver | Sep 7, 2026 |
National Provider Directory
National Provider DirectoryLocations
12250 S Cicero Ave
Ste 112
Alsip, IL 60803
Phone (708) 371-5308
3650 W 95th St
Evergreen Pk, IL 60805
Phone (708) 422-7715
18210 La Grange Rd
Tinley Park, IL 60487
Phone (708) 342-4411
Practitioners & affiliated clinicians
Practitioners 19
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Nephrology Physician
- Evergreen Park, IL
- NPI 1306879929
-
- Family Nurse Practitioner
- Evergreen Park, IL
- NPI 1114634805
-
- Nephrology Physician
- Oak Lawn, IL
- NPI 1922138254
-
- Nephrology Physician
- Evergreen Park, IL
- NPI 1588213094
-
- Nephrology Physician
- Evergreen Park, IL
- NPI 1205869815
-
- Nephrology Physician
- Evergreen Park, IL
- NPI 1285941153
-
- Nephrology Physician
- Evergreen Park, IL
- NPI 1063670719
-
- Nephrology Physician
- Evergreen Park, IL
- NPI 1144476912
-
- Gerontology Nurse Practitioner
- Evergreen Park, IL
- NPI 1295379543
-
- Nephrology Physician
- Evergreen Park, IL
- NPI 1881851400
-
- Nephrology Physician
- Evergreen Park, IL
- NPI 1033514625
-
- Nephrology Physician
- Evergreen Park, IL
- NPI 1255356689
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158883200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1770163200000",
"number": "1104925163",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "120 W 22ND ST",
"address_2": "STE 200",
"city": "OAK BROOK",
"state": "IL",
"postal_code": "605231563",
"telephone_number": "630-573-5000",
"fax_number": "708-422-7816"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "16605 107TH ST",
"city": "ORLAND PARK",
"state": "IL",
"postal_code": "604679016",
"telephone_number": "708-226-9860"
}
],
"practiceLocations": [
{
"address_1": "9125 S Pulaski Rd",
"address_purpose": "LOCATION",
"city": "Evergreen Park",
"state": "IL",
"postal_code": "608051441",
"country_code": "US",
"telephone_number": "708-422-7715",
"fax_number": "708-422-7816",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "SOUTHWEST NEPHROLOGY ASSOCIATES, S.C.",
"organizational_subpart": "NO",
"enumeration_date": "2006-09-22",
"last_updated": "2026-02-04",
"certification_date": "2026-02-04",
"status": "A",
"authorized_official_last_name": "CASSIN",
"authorized_official_first_name": "NAOMI",
"authorized_official_title_or_position": "CREDENTIALING MANAGER",
"authorized_official_telephone_number": "331-216-1156",
"authorized_official_name_prefix": "Ms."
},
"taxonomies": [
{
"code": "261QA1903X",
"taxonomy_group": "",
"desc": "Clinic/Center, Ambulatory Surgical",
"state": null,
"license": null,
"primary": true
},
{
"code": "207RN0300X",
"taxonomy_group": "",
"desc": "Internal Medicine, Nephrology",
"state": "IL",
"license": "042618498",
"primary": false
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "credentialing@nephdocs.com",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "120 W 22nd St",
"city": "Oak Brook",
"state": "IL",
"country_code": "US",
"postal_code": "605231557",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Orland Park, IL
- Southwest Dental Group
- Southwest Dermatology, PC
- Southwest Endodontics
- Southwest Foot and Ankle, LLC
- Southwest Head & Neck Surgical Assoc SC (Joseph P Gavron MD)
- Southwest Psychiatric Services, SC
- Southwest Surgical Assistants
- Southwest Vision Therapy, P.C.
- Madison Spaargaren
- Lauren Ann Spakausky, RBT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2026; 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.