Yorkville Dialysis Center, LLC

Primary specialty

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

Legal business name

YORKVILLE DIALYSIS CENTER, LLC

Practice address

1400 Beecher Rd
Yorkville, IL 60560-5600

Phone

(630) 851-4812

Fax

(630) 851-7261

NPI assigned

Jun 23, 2009

Organization subpart

No

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

Authorized official

Name

Mr. Calvin Ganong

Title

Chief Operating Officer

Phone

(630) 851-1206

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Listed as

Yorkville Dialysis Center LLCCCN 142709

Overall star rating

3.0 of 5

Ownership

Profit

Certified

Jan 22, 2010

Medicare certification status

ActiveFrom the Provider of Services file

Dialysis stations

8

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Affiliated clinicians 4

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

• Valerie Arango Heidenry, MD

  • Nephrology Physician
  • Aurora, IL
  • NPI 1720046618

  Dialysis facility

  Care Compare affiliation Name & address match
• Rasa Liesionyte Kedainis, M.D.

  • Nephrology Physician
  • Aurora, IL
  • NPI 1114143021

  Dialysis facility

  Care Compare affiliation Name & address match
• Harry Rubinstein, MD

  • Nephrology Physician
  • Aurora, IL
  • NPI 1154361954

  Dialysis facility

  Care Compare affiliation Name & address match
• Pardeep K Sood, MD

  • Nephrology Physician
  • Aurora, IL
  • NPI 1205870276

  Dialysis facility

  Care Compare affiliation Name & address match

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

{
    "created_epoch": "1245715200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1245715200000",
    "number": "1376771972",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1300 WATERFORD DR",
            "city": "AURORA",
            "state": "IL",
            "postal_code": "605045502",
            "telephone_number": "630-851-4812",
            "fax_number": "630-851-7261"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 BEECHER RD",
            "city": "YORKVILLE",
            "state": "IL",
            "postal_code": "605605600",
            "telephone_number": "630-851-4812",
            "fax_number": "630-851-7261"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YORKVILLE DIALYSIS CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-06-23",
        "last_updated": "2009-06-23",
        "status": "A",
        "authorized_official_last_name": "GANONG",
        "authorized_official_first_name": "CALVIN",
        "authorized_official_title_or_position": "CHIEF OPERATING OFFICER",
        "authorized_official_telephone_number": "630-851-1206",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QE0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, End-Stage Renal Disease (ESRD) Treatment",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jessica Lynn Wyatt, SLP
• Haohua I Yang, MD
• York Towne Dental
• Yorkville Care Center LLC
• Yorkville Dental
• Yorkville Imaging LLC
• Yorkville Medical Clinic, S.C.
• Yorkville Physical Therapy and Sports Medicine Center, LLC
• Yorkville School District #115
• Yorkville Vision LLC

• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Yorkville, IL
• Providers in Yorkville, 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 Jun 23, 2009; 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.