Cagles Dialysis LLC

Primary specialty

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

Legal business name

CAGLES DIALYSIS LLC

Practice address

10511 S Harlem Ave
Chicago Ridge, IL 60415-1291

Phone

(708) 361-2863

Fax

(708) 361-2954

NPI assigned

Jan 5, 2015

Organization subpart

No

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

Authorized official

Name

John Winstel

Title

Chief Accounting Officer

Phone

(253) 733-4501

Specialties & licenses 1

Addresses

Other names 1

• Chicago Ridge Dialysis Doing business as

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Listed as

DaVita Chicago Ridge DialysisCCN 142793

Overall star rating

2.0 of 5

Ownership

Profit

Certified

Mar 14, 2016

Medicare certification status

ActiveFrom the Provider of Services file

Chain

DaVita

Dialysis stations

16

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

CLIA laboratory certificates

Member of 2

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

• Dupage Medical Group LTD

  • Durable Medical Equipment & Medical Supplies
  • Lisle, IL
  • NPI 1679811095

  Member Of

  NPD member
• Total Renal Care Inc

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Burlington, WA
  • NPI 1932595584

  Member Of

  NPD member

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Sreya Pallath, MD

  • Nephrology Physician
  • Oak Lawn, IL
  • NPI 1467489583
  NPD (past)

Affiliated clinicians 6

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

• Michael E Arvan, MD

  • Nephrology Physician
  • Oak Lawn, IL
  • NPI 1336195528

  Dialysis facility

  Care Compare affiliation Name & address match
• Sonja Marcic, MD

  • Nephrology Physician
  • Oak Lawn, IL
  • NPI 1700823192

  Dialysis facility

  Care Compare affiliation Name & address match
• Mohammad Rasmi Mataria, M.D.

  • Nephrology Physician
  • Tinley Park, IL
  • NPI 1750590147

  Dialysis facility

  Care Compare affiliation Name & address match
• Mahmoud Mohamed, MD

  • Nephrology Physician
  • Evergreen Park, IL
  • NPI 1588213094

  Dialysis facility

  Care Compare affiliation Name & address match
• Sreya Pallath, MD

  • Nephrology Physician
  • Oak Lawn, IL
  • NPI 1467489583

  Dialysis facility

  Care Compare affiliation Name & address match
• James J Rydel, MD

  • Nephrology Physician
  • Oak Lawn, IL
  • NPI 1225078413

  Dialysis facility

  Care Compare affiliation Name & address match

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

{
    "created_epoch": "1420416000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1679875200000",
    "number": "1629466339",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5200 VIRGINIA WAY",
            "address_2": "L & C DEPARTMENT",
            "city": "BRENTWOOD",
            "state": "TN",
            "postal_code": "370277569",
            "telephone_number": "615-320-4514",
            "fax_number": "866-594-9961"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10511 S HARLEM AVE",
            "city": "CHICAGO RIDGE",
            "state": "IL",
            "postal_code": "604151291",
            "telephone_number": "708-361-2863",
            "fax_number": "708-361-2954"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAGLES DIALYSIS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-01-05",
        "last_updated": "2023-03-27",
        "certification_date": "2023-03-27",
        "status": "A",
        "authorized_official_last_name": "WINSTEL",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "CHIEF ACCOUNTING OFFICER",
        "authorized_official_telephone_number": "253-733-4501"
    },
    "taxonomies": [
        {
            "code": "261QE0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, End-Stage Renal Disease (ESRD) Treatment",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Chicago Ridge Dialysis",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Chicago Ridge Dialysis",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kristin Bragiel
• Karen M Brann, APN
• Aidan Martin Brodie, COTA
• Kristen Bugajski
• Violet Hunter Cabot, M.S. CCC-SLP
• Cardio-Medicine SC
• Jonathan Casabal, PTA
• Kaely Rose Cassidy, M.S., SLP/L
• Celeste Marie Cassin, LPN
• Bassem Chaar, M.D.

• All providers in Chicago Ridge, IL
• 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 Mar 27, 2023; 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.