Rockwood Dialysis LLC

Primary specialty

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

Legal business name

ROCKWOOD DIALYSIS LLC

Doing business as

Geneva Crossing Dialysis

Practice address

546 S Schmale Rd
Carol Stream, IL 60188-2419

Phone

(630) 260-4086

Fax

(630) 260-4116

NPI assigned

Sep 13, 2018

Organization subpart

No

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

Authorized official

Name

Samuel T Wey

Title

VP Licensure & Certification

Phone

(615) 341-6641

Specialties & licenses 1

Addresses

Other names 1

• Geneva Crossing Dialysis Doing business as

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Other NPIs with the same Medicare PAC ID 2

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

• Rockwood Dialysis LLC

  dba Downers Grove Home Training

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Downers Grove, IL
  • NPI 1144729963

  4981966215

  Same PAC ID
• Rockwood Dialysis LLC

  dba Woodridge Home Dialysis

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Woodridge, IL
  • NPI 1629568555

  4981966215

  Same PAC ID

Listed as

DaVita Geneva CrossingsCCN 142858

Overall star rating

3.0 of 5

Ownership

Profit

Certified

Jul 3, 2019

Medicare certification status

ActiveFrom the Provider of Services file

Chain

DaVita

Dialysis stations

14

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

Downers Grove Home Training3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

• Rockwood Dialysis LLC

  dba Downers Grove Home Training

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Downers Grove, IL
  • NPI 1144729963
  NPD tax ID
• Rockwood Dialysis LLC

  dba Woodridge Home Dialysis

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Woodridge, IL
  • NPI 1629568555
  NPD tax ID

Member of 3

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

• Du Page Medical Group LTD

  dba M & M Orthopaedics a member of Du Page Medical Group

  • Durable Medical Equipment & Medical Supplies
  • Downers Grove, IL
  • NPI 1487087532

  Member Of

  NPD member
• Total Renal Care Inc

  dba Rose Point Dialysis

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Wasco, CA
  • NPI 1871007617

  Member Of

  NPD member
• Total Renal Care Inc

  dba Parkland Dialysis Center

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Parkland, WA
  • NPI 1881987485

  Member Of

  NPD member

Locations

Affiliated clinicians 3

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

• Ankit Rawal, D.O.

  • Nephrology Physician
  • Winfield, IL
  • NPI 1891074555

  Dialysis facility

  Care Compare affiliation Name & address match
• Regan Michael Seipp, M.D.

  • Nephrology Physician
  • Winfield, IL
  • NPI 1306256284

  Dialysis facility

  Care Compare affiliation Name & address match
• Shivani Shah, M.D.

  • Nephrology Physician
  • Naperville, IL
  • NPI 1982837779

  Dialysis facility

  Care Compare affiliation Name & address match

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

{
    "created_epoch": "1536796800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1721088000000",
    "number": "1902389075",
    "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"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "546 S SCHMALE RD",
            "city": "CAROL STREAM",
            "state": "IL",
            "postal_code": "601882419",
            "telephone_number": "630-260-4086",
            "fax_number": "630-260-4116"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROCKWOOD DIALYSIS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-09-13",
        "last_updated": "2024-07-16",
        "certification_date": "2024-07-16",
        "status": "A",
        "authorized_official_last_name": "WEY",
        "authorized_official_first_name": "SAMUEL",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "VP LICENSURE & CERTIFICATION",
        "authorized_official_telephone_number": "615-341-6641"
    },
    "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": "Geneva Crossing Dialysis",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Geneva Crossing Dialysis",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Patricia Rhoadarmer
• Michele Dawn Ricamato, M.A.CCC-SLP
• Eva Ruth Salazar Rieck, PT
• Daniel Robbins, PHARM D
• Jennifer Roberts, DPT
• Stefhanie Rodriguez Marmolejo
• Alana Marquez Roth, PSYD
• Roy J. Betti, M.D.S.C.
• Carlos Ruiz, M.DIV., M.A. INTERN
• Renata Rygula Koziol

• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Carol Stream, IL
• Providers in Carol Stream, 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 Jul 16, 2024; 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.