Rai Care Centers of Illinois I, LLC

Primary specialty

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

Legal business name

RAI CARE CENTERS OF ILLINOIS I, LLC

Doing business as

Fresenius Medical Care Regency Park

Practice address

124 Regency Park Drive Ste 1
O Fallon, IL 62269-1994

Phone

(618) 622-0634

Fax

(618) 622-0668

NPI assigned

Oct 3, 2006

Last updated

Sep 1, 2026By the provider in NPPES

Organization subpart

Yes

Parent organization

FRESENIUS MEDICAL CARE HOLDINGS, INC.As reported in NPPES

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

Authorized official

Name

Denise Wright

Title

Vice President

Phone

(781) 676-5200

Specialties & licenses 1

Addresses

Other names 1

• FRESENIUS MEDICAL CARE REGENCY PARK Doing business as

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

• Rai Care Centers of Illinois I, LLC

  dba Rai North Main - Breese

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Breese, IL
  • NPI 1770676363

  7618997511

  Same PAC ID

Listed as

FMC - Regency ParkCCN 142558

Overall star rating

2.0 of 5

Ownership

Profit

Certified

Sep 9, 1997

Medicare certification status

ActiveFrom the Provider of Services file

Chain

Fresenius Medical Care

Dialysis stations

20

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

CLIA laboratory certificates

Tax ID family

Ability Network2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Rai Care Centers of Illinois I, LLC

  dba Rai North Main - Breese

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Breese, IL
  • NPI 1770676363
  NPD tax ID

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• National Medical Care, Inc.

  dba Renal Care Center of North Georgia Bma

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Canton, GA
  • NPI 1871605600

  Member Of

  NPD member

Affiliated clinicians 3

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

• Bassim Assioun, M.D.

  • Nephrology Physician
  • O'Fallon, IL
  • NPI 1669785408

  Dialysis facility

  Care Compare affiliation Name & address match
• Ifath G Bashiruddin, M.D.

  • Nephrology Physician
  • Belleville, IL
  • NPI 1417060534

  Dialysis facility

  Care Compare affiliation Name & address match
• Matthew J Koch, MD

  • Nephrology Physician
  • Belleville, IL
  • NPI 1962420448

  Dialysis facility

  Care Compare affiliation Name & address match

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

{
    "created_epoch": "1159833600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1788220800000",
    "number": "1588758239",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "124 REGENCY PARK DRIVE STE 1",
            "city": "O FALLON",
            "state": "IL",
            "postal_code": "622691994",
            "telephone_number": "618-622-0634",
            "fax_number": "618-622-0668"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "124 REGENCY PARK DRIVE STE 1",
            "city": "O FALLON",
            "state": "IL",
            "postal_code": "622691994",
            "telephone_number": "618-622-0634",
            "fax_number": "618-622-0668"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RAI CARE CENTERS OF ILLINOIS I, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "FRESENIUS MEDICAL CARE HOLDINGS, INC.",
        "enumeration_date": "2006-10-03",
        "last_updated": "2026-09-01",
        "certification_date": "2026-09-01",
        "status": "A",
        "authorized_official_last_name": "WRIGHT",
        "authorized_official_first_name": "DENISE",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "781-676-5200"
    },
    "taxonomies": [
        {
            "code": "261QE0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, End-Stage Renal Disease (ESRD) Treatment",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://esmd.officeally.io:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service",
            "affiliation": "Y",
            "endpointDescription": "2.16.840.1.113883.3.2019.3",
            "affiliationName": "Bluemark LLC / Office Ally",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "CMS esMD eMDR",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1300 SE Cardinal Ct Ste 190",
            "city": "Vancouver",
            "state": "WA",
            "country_code": "US",
            "postal_code": "986839683",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "FRESENIUS MEDICAL CARE REGENCY PARK",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "FRESENIUS MEDICAL CARE REGENCY PARK",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kristin Beckstrom Radcliffe, MSW, LCSW
• Jacob Radden, PT, DPT, PES
• Ahmed A. Radwan, M.D.
• Kyla Raftery, MA, CF-SLP
• Joel Lee Rahn, D.C
• Santosh Raja, DO
• Andrew Michael Rakers
• Amanda K Randazzo, PHARMD
• Michael Angelo Randazzo Jr.
• Kenzie Rankin

• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in O'Fallon, IL
• Providers in O'Fallon, 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 Sep 1, 2026; 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.