Active NPI
Nephron Dialysis Center LTD
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Chicago, IL
National Provider Identifier
1356362941
On this page
Key facts
NPPES NPI Registry- Primary specialty
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Legal business name
- NEPHRON DIALYSIS CENTER LTD
- Practice address
- 5140 N California Ave
Suite 510
Chicago, IL 60625-3645 - Phone
- (773) 293-2100
- Fax
- (773) 293-2101
- NPI assigned
- Jul 21, 2006
- 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
- Dr. Anthony J Kocalis, M.D.
- Title
- President/Ceo
- Phone
- (773) 293-2100
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| End-Stage Renal Disease (ESRD) Treatment Clinic/Center | 261QE0700X | Primary |
Addresses
Primary practice location
5140 N California Ave
Suite 510
Chicago, IL 60625-3645
Mailing address
5140 N California Ave
Suite 510
Chicago, IL 60625-3645
Phone (773) 293-2100
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2135 | Other | IL | BLUECROSS BLUESHIELD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20111230000629 | IL | Part A Provider - End-Stage Renal Disease Facility (ESRD) | 8527234160 | Practice locations: Chicago, IL |
Care Compare: Dialysis facility
Medicare Care Compare- Listed as
- Nephron Dialysis Center, LTD.
- Overall star rating
- Ownership
- Profit
- Certified
- Jun 15, 2000
- Medicare certification status
- Active
- Dialysis stations
- 16
Name & address match This facility record has no NPI; it was connected to this NPI by matching name and address.
National Provider Directory
National Provider DirectoryLocations
5140 N California Ave
Ste 510
Chicago, IL 60625
Phone (773) 293-2100
Practitioners & affiliated clinicians
Affiliated clinicians 4
Clinicians who list this facility as an affiliation in Medicare Care Compare.
-
- Internal Medicine Physician
- Washington, DC
- NPI 1184857138
Dialysis facility
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153440000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1441756800000",
"number": "1356362941",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5140 N CALIFORNIA AVE",
"address_2": "SUITE 510",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606253645",
"telephone_number": "773-293-2100",
"fax_number": "773-293-2101"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5140 N CALIFORNIA AVE",
"address_2": "SUITE 510",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606253645",
"telephone_number": "773-293-2100",
"fax_number": "773-293-2101"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NEPHRON DIALYSIS CENTER LTD",
"organizational_subpart": "NO",
"enumeration_date": "2006-07-21",
"last_updated": "2015-09-09",
"status": "A",
"authorized_official_last_name": "KOCALIS",
"authorized_official_first_name": "ANTHONY",
"authorized_official_middle_name": "J",
"authorized_official_title_or_position": "PRESIDENT/CEO",
"authorized_official_telephone_number": "773-293-2100",
"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": "BLUECROSS BLUESHIELD",
"identifier": "2135",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Chicago, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2015; 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.