NPIMap

Organization Active NPI

Comprehensive Renal Care PLLC

  • Nephrology Physician
  • Westmont, IL
National Provider Identifier
1871310607
Registry record updated Sep 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
Legal business name
COMPREHENSIVE RENAL CARE PLLC
Practice address
999 Oakmont Plaza Dr Ste 600
Westmont, IL 60559-1374
Phone
(877) 630-7277
NPI assigned
Sep 23, 2024
Last updated
Sep 23, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 23, 2024

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

Authorized official

Name
Wasay HumayunNPI 1013154327
Title
President
Phone
(877) 630-7277

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X Primary

Addresses

Primary practice location

999 Oakmont Plaza Dr Ste 600
Westmont, IL 60559-1374

Mailing address

999 Oakmont Plaza Dr Ste 600
Westmont, IL 60559-1374

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL, IN2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20241016001463 IL Part B Supplier - Clinic/Group Practice 1456883495 Receives reassigned benefits from 8 practitioners
Practice locations: Westmont, IL
O20260224002745 IN Part B Supplier - Clinic/Group Practice 1456883495 Receives reassigned benefits from 1 practitioner
Practice locations: Michigan City, IN

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 8

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.

NPI Registry JSON

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

{
    "created_epoch": "1727049600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1727049600000",
    "number": "1871310607",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "999 OAKMONT PLAZA DR STE 600",
            "city": "WESTMONT",
            "state": "IL",
            "postal_code": "605591374"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "999 OAKMONT PLAZA DR STE 600",
            "city": "WESTMONT",
            "state": "IL",
            "postal_code": "605591374",
            "telephone_number": "877-630-7277"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMPREHENSIVE RENAL CARE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-09-23",
        "last_updated": "2024-09-23",
        "certification_date": "2024-09-23",
        "status": "A",
        "authorized_official_last_name": "HUMAYUN",
        "authorized_official_first_name": "WASAY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "877-630-7277"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Westmont, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.