Iroquois Kidney Center, LLC

Primary specialty

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

License

APPLIED FOR Issued in IL

Legal business name

IROQUOIS KIDNEY CENTER, LLC

Practice address

209 S 5TH St
Watseka, IL 60970-1659

Phone

(815) 937-4422

NPI assigned

Nov 10, 2011

Last updated

Nov 10, 2011By 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

Miguel Hizon, MD

Title

Manager

Phone

(815) 937-4422

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Listed as

Iroquois Kidney CenterCCN 142759

Ownership

Profit

Certified

Aug 29, 2013

Medicare certification status

ActiveFrom the Provider of Services file

Practitioners 2

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.

• Nashib Hashmi, M.D.

  • Nephrology Physician
  • Kankakee, IL
  • NPI 1629194543
  NPD (past)
• Paritosh Tiwari

  • Nephrology Physician
  • Bourbonnais, IL
  • NPI 1174696884
  NPD (past)

Affiliated clinicians 2

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

• Nashib Hashmi, M.D.

  • Nephrology Physician
  • Kankakee, IL
  • NPI 1629194543

  Dialysis facility

  Care Compare affiliation Name & address match
• Paritosh Tiwari

  • Nephrology Physician
  • Bourbonnais, IL
  • NPI 1174696884

  Dialysis facility

  Care Compare affiliation Name & address match

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

{
    "created_epoch": "1320883200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1320883200000",
    "number": "1922385558",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "455 W COURT ST",
            "address_2": "SUITE 304",
            "city": "KANKAKEE",
            "state": "IL",
            "postal_code": "609013679",
            "telephone_number": "815-937-4422"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "209 S 5TH ST",
            "city": "WATSEKA",
            "state": "IL",
            "postal_code": "609701659",
            "telephone_number": "815-937-4422"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IROQUOIS KIDNEY CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-11-10",
        "last_updated": "2011-11-10",
        "status": "A",
        "authorized_official_last_name": "HIZON",
        "authorized_official_first_name": "MIGUEL",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "815-937-4422",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QE0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, End-Stage Renal Disease (ESRD) Treatment",
            "state": "IL",
            "license": "APPLIED FOR",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Iroquois Anesthesia Services, PC
• Iroquois County Cusd 9
• Iroquois County Public Health Department
• Iroquois Emergency Medicine Specialists, LTD.
• Iroquois Home Care, Inc.
• Iroquois Memorial Hospital (IMH General Surgery)
• Iroquois Memorial Hospital (Imh Multi Specialty Physician Group)
• Iroquois Memorial Hospital (IMH General Surgeons)
• Iroquois Memorial Hospital
• Iroquois Memorial Hospital (Iroquois Orthopedics)

• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Watseka, IL
• Providers in Watseka, 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 Nov 10, 2011; 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.