Organization Active NPI

Danville Dialysis Services, LLC

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Danville, IL
National Provider Identifier
1205826435
Registry record updated Nov 21, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
End-Stage Renal Disease (ESRD) Treatment Clinic/CenterTaxonomy code 261QE0700X
License
036049900 Issued in IL
Legal business name
DANVILLE DIALYSIS SERVICES, LLC
Practice address
910 W Clay St
Danville, IL 61832-4309
Phone
(217) 446-1111
Fax
(217) 446-1115
NPI assigned
Oct 27, 2005
Last updated
Nov 21, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 21, 2008

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

Authorized official

Name
Dr. Brijnandan Singh Sodhi, M.D.NPI 1700879178
Title
Owner
Phone
(217) 446-1111

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 036049900 IL Primary

Addresses

Primary practice location

910 W Clay St
Danville, IL 61832-4309

Mailing address

910 W Clay St
Danville, IL 61832-4309
Phone (217) 446-1111

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20081202000422 IL Part A Provider - End-Stage Renal Disease Facility (ESRD) 2163583733 Practice locations: Danville, IL

Care Compare: Dialysis facility

Medicare Care Compare
Listed as
Danville Dialysis Services, LLCCCN 142625
Overall star rating
3.0 of 5
Ownership
Profit
Certified
Apr 2, 2002
Medicare certification status
ActiveFrom the Provider of Services file
Dialysis stations
19

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
14D0994898Danville Dialysis Services LLC910 West Clay Street, Danville, IL 61832Certificate of waiverJan 3, 2028

National Provider Directory

National Provider Directory

Locations

910 W Clay St
Danville, IL 61832
Phone (217) 446-1111

Practitioners & affiliated clinicians

Practitioners 2

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.

Affiliated clinicians 1

Clinicians who list this facility as an affiliation in Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1130371200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1227225600000",
    "number": "1205826435",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "910 W CLAY ST",
            "city": "DANVILLE",
            "state": "IL",
            "postal_code": "618324309",
            "telephone_number": "217-446-1111",
            "fax_number": "217-446-1115"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "910 W CLAY ST",
            "city": "DANVILLE",
            "state": "IL",
            "postal_code": "618324309",
            "telephone_number": "217-446-1111",
            "fax_number": "217-446-1115"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DANVILLE DIALYSIS SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-27",
        "last_updated": "2008-11-21",
        "status": "A",
        "authorized_official_last_name": "SODHI",
        "authorized_official_first_name": "BRIJNANDAN",
        "authorized_official_middle_name": "SINGH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "217-446-1111",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QE0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, End-Stage Renal Disease (ESRD) Treatment",
            "state": "IL",
            "license": "036049900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Danville, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2008; 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.