Active NPI
Home Dialysis & Kidney Care Limited
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Downers Grove, IL
National Provider Identifier
1316550486
On this page
Key facts
NPPES NPI Registry- Primary specialty
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Legal business name
- HOME DIALYSIS & KIDNEY CARE LIMITED
- Practice address
- 1252 Ogden Ave Ste D
Downers Grove, IL 60515-2740 - Phone
- (630) 876-9000
- Fax
- (630) 559-9004
- NPI assigned
- Aug 28, 2020
- 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
- Mohammad Vaseemuddin, MD
- Title
- President
- Phone
- (847) 323-5491
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | |||
| Internal Medicine Physician | 207R00000X | |||
| Nephrology Physician | 207RN0300X | |||
| End-Stage Renal Disease (ESRD) Treatment Clinic/Center | 261QE0700X | Primary |
Addresses
Primary practice location
1252 Ogden Ave Ste D
Downers Grove, IL 60515-2740
Mailing address
1252 Ogden Ave Ste D
Downers Grove, IL 60515-2740
Phone (630) 876-9000
Other practice location 1
1127 S. Arlington Heights ROAD
Arlington Heights, IL 60005
Phone (630) 876-9000
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 036-110447 | Medicaid | IL |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | EMR | Direct |
National Provider Directory
National Provider DirectoryLocations
1252 Ogden Ave
Ste D
Downers Grove, IL 60515
Phone (630) 876-9000
Ownership & related parties
Subparts reporting this organization as parent 1
Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.
-
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Arlington Heights, IL
- NPI 1508631193
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1598572800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1711411200000",
"number": "1316550486",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1252 OGDEN AVE STE D",
"city": "DOWNERS GROVE",
"state": "IL",
"postal_code": "605152740",
"telephone_number": "630-876-9000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1252 OGDEN AVE STE D",
"city": "DOWNERS GROVE",
"state": "IL",
"postal_code": "605152740",
"telephone_number": "630-876-9000",
"fax_number": "630-559-9004"
}
],
"practiceLocations": [
{
"address_1": "1127 S. Arlington Heights ROAD",
"address_purpose": "LOCATION",
"city": "Arlington Heights",
"state": "IL",
"postal_code": "60005",
"country_code": "US",
"telephone_number": "630-876-9000",
"fax_number": "630-559-9004",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "HOME DIALYSIS & KIDNEY CARE LIMITED",
"organizational_subpart": "NO",
"enumeration_date": "2020-08-28",
"last_updated": "2024-03-26",
"certification_date": "2024-03-26",
"status": "A",
"authorized_official_last_name": "VASEEMUDDIN",
"authorized_official_first_name": "MOHAMMAD",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "847-323-5491",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Family Medicine",
"state": null,
"license": null,
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": null,
"license": null,
"primary": false
},
{
"code": "207RN0300X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine, Nephrology",
"state": null,
"license": null,
"primary": false
},
{
"code": "261QE0700X",
"taxonomy_group": "",
"desc": "Clinic/Center, End-Stage Renal Disease (ESRD) Treatment",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "036-110447",
"state": "IL"
}
],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "EMR",
"affiliation": "N",
"endpointDescription": "OFFICE ALLY",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "EMR",
"address_1": "1252 Ogden Ave Ste D",
"city": "Downers Grove",
"state": "IL",
"country_code": "US",
"postal_code": "605152740",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Downers Grove, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.