Quad Cities Kidney Center Silvis, LLC

Primary specialty

End-Stage Renal Disease (ESRD) Treatment Clinic/CenterTaxonomy code 261QE0700X

Legal business name

QUAD CITIES KIDNEY CENTER SILVIS, LLC

Practice address

880 Crosstown Ave
Silvis, IL 61282-1621

Phone

(309) 792-3517

Fax

(309) 796-3590

NPI assigned

Aug 10, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Rajesh Alla, M.D.

Title

Medical Director

Phone

(309) 762-5570

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

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.

• Suresh Alla, M.D.

  • Nephrology Physician
  • Moline, IL
  • NPI 1134339203
  NPD (past)

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

{
    "created_epoch": "1155168000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1409270400000",
    "number": "1356352173",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 JOHN DEERE RD",
            "city": "MOLINE",
            "state": "IL",
            "postal_code": "612656898",
            "telephone_number": "309-762-5570",
            "fax_number": "309-762-5297"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "880 CROSSTOWN AVE",
            "city": "SILVIS",
            "state": "IL",
            "postal_code": "612821621",
            "telephone_number": "309-792-3517",
            "fax_number": "309-796-3590"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "QUAD CITIES KIDNEY CENTER SILVIS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-10",
        "last_updated": "2014-08-29",
        "status": "A",
        "authorized_official_last_name": "ALLA",
        "authorized_official_first_name": "RAJESH",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "309-762-5570",
        "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": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF IL",
            "identifier": "50464",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Carrie Piazza, PTA
• Alexander David Pinc, M.D.
• Shannon E Pirmann, MA, ATC, LAT
• Prime Transit LLC
• Nicolle Jeanette Putnam, R.D.
• Maher Rabie, PHARMD
• Olivia Ramirez
• Goyanka Ranganathan, MD
• Rock Valley Physical Therapy Center
• Edie M Rogers, DO

• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Silvis, IL
• Providers in Silvis, IL by specialty
• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.