NPIMap

Individual provider Active NPI

Sushant Ramdas Taksande, MD

  • Nephrology Physician
  • Oak Lawn, IL
National Provider Identifier
1336375096
Registry record updated Feb 17, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
036130396 Issued in IL
Practice address
4457 Southwest Highway
Suite 201
Oak Lawn, IL 60453
Phone
(708) 598-2448
Fax
(708) 827-5419
NPI assigned
Jun 8, 2009
Last updated
Feb 17, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 17, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X 036130396 IL Primary

Addresses

Primary practice location

4457 Southwest Highway
Suite 201
Oak Lawn, IL 60453

Mailing address

PO Box 3877
Joliet, IL 60434-3877
Phone (815) 714-7171

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address staksande283753@direct.myadvocateaurora.org Direct
FHIR URL https://epicfhir.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140320000563 IL Practitioner - NephrologyPractitioner - Internal Medicine 6002047826 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
NephrologyAlso: Internal Medicine
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Kidney Care Center South LLCGroup PAC ID 5597908434, 6 clinicians

Practice addresses (Care Compare)

4457 Southwest Hwy
Suite 201
Oak Lawn, IL 60453-3778
Phone (708) 598-2448

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
036130396ILMDNephrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Kidney Care Center South LLC Nephrology CurrentSince Mar 1, 2014 Accepting new patients
PMR Illinois Holding, LLC CurrentSince Jan 1, 2022 Accepting new patients
Home Dialysis Services Hickory Hills LLC PastSince Dec 7, 2025 Accepting new patients
Kidney Care Center South PastSince Dec 1, 2019 Accepting new patients
Dialysis Care Center Oak Lawn LLC Past Accepting new patients
Renal Care Providers LLC PastSince Sep 1, 2022 Accepting new patients
Dialysis Care Center Evergreen Park LLC PastSince Jan 1, 2026 Accepting new patients

Locations

1395 NW 167th St
Miami Gardens, FL 33169
Phone (305) 831-4760

6326 Cermak Rd
Berwyn, IL 60402
Phone (708) 303-9234

2231 E 95th St
Chicago, IL 60617
Phone (773) 768-7700

2734 W 87th St
Chicago, IL 60652
Phone (773) 918-4700

19310 S Halsted St
Glenwood, IL 60425
Phone (708) 300-3132

4457 Southwest Hwy
Ste 201
Oak Lawn, IL 60453
Phone (708) 598-2448

6101 W 95th St
Oak Lawn, IL 60453
Phone (708) 261-0831

10508 S Roberts Rd
Palos Hills, IL 60465
Phone (708) 598-2448

Interoperability endpoints

  • Direct secure messaging: staksande283753@direct.myadvocateaurora.org

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 11

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1244419200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1771286400000",
    "number": "1336375096",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3877",
            "city": "JOLIET",
            "state": "IL",
            "postal_code": "604343877",
            "telephone_number": "815-714-7171",
            "fax_number": "815-741-6832"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4457 SOUTHWEST HIGHWAY",
            "address_2": "SUITE 201",
            "city": "OAK LAWN",
            "state": "IL",
            "postal_code": "60453",
            "telephone_number": "708-598-2448",
            "fax_number": "708-827-5419"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAKSANDE",
        "first_name": "SUSHANT",
        "middle_name": "RAMDAS",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-06-08",
        "last_updated": "2026-02-17",
        "certification_date": "2026-02-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "IL",
            "license": "036130396",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "staksande283753@direct.myadvocateaurora.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "10508 S Roberts Rd",
            "city": "Palos Hills",
            "state": "IL",
            "country_code": "US",
            "postal_code": "604651934",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://epicfhir.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/",
            "affiliation": "N",
            "address_1": "10508 S Roberts Rd",
            "city": "Palos Hills",
            "state": "IL",
            "country_code": "US",
            "postal_code": "604651934",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Oak Lawn, IL

Sources for this page

Verify at the official NPI Registry.