Aledo Kidney Center, LLC

Primary specialty

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

Legal business name

ALEDO KIDNEY CENTER, LLC

Practice address

409 NW 9TH Ave
Aledo, IL 61231-1258

Phone

(309) 582-2227

Fax

(309) 582-8999

NPI assigned

Jul 20, 2005

Last updated

Aug 29, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Rajesh Alla, M.D.NPI 1154462224

Title

Medical Director

Phone

(309) 762-5570

Specialties & licenses 1

Addresses

Other identifiers 2

Practitioners 1

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.

• Rajesh Alla, M.D.

  • Nephrology Physician
  • Moline, IL
  • NPI 1154462224
  NPD (past) Authorized official

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

{
    "created_epoch": "1121817600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1409270400000",
    "number": "1922007046",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 JOHN DEERE RD",
            "city": "MOLINE",
            "state": "IL",
            "postal_code": "612656898",
            "telephone_number": "309-762-5570",
            "fax_number": "309-762-5297"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "409 NW 9TH AVE",
            "city": "ALEDO",
            "state": "IL",
            "postal_code": "612311258",
            "telephone_number": "309-582-2227",
            "fax_number": "309-582-8999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALEDO KIDNEY CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-20",
        "last_updated": "2014-08-29",
        "status": "A",
        "authorized_official_last_name": "ALLA",
        "authorized_official_first_name": "RAJESH",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "309-762-5570",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QE0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, End-Stage Renal Disease (ESRD) Treatment",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF IL",
            "identifier": "50357",
            "state": "IL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Advanced Physical Therapy Services, LTD (Advanced Rehab & Sports Medicine)
• Advantage Family Chiropractic PC
• Aledo Comm Unit SCH Dist 201
• Aledo Hco, LLC (Aledo Rehabilitation & Health Care Center)
• Aledo Hco, LLC
• Aledo Senior Housing LLC (Heritage Woods of Aledo)
• Rosa F. Alvarez, MD
• Arcadia Care Aledo LLC (Arcadia Care Aledo)
• Arcadia Care Aledo LLC (Arcadia Care Aledo)
• Jonathan Michael Barnhouse, RN

• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Aledo, IL
• Providers in Aledo, 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 Aug 29, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.