Organization Active NPI

Consultants in Kidney Disease LLC

  • Nephrology Physician
  • Evanston, IL
National Provider Identifier
1932360864
Registry record updated Jun 23, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
Legal business name
CONSULTANTS IN KIDNEY DISEASE LLC
Practice address
800 Austin St
Suite 269, East Tower
Evanston, IL 60202-3439
Phone
(847) 328-5550
Fax
(847) 328-5606
NPI assigned
Jun 23, 2008
Last updated
Jun 23, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 23, 2008

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

Authorized official

Name
Dr. Ajit Kesani, M.D.NPI 1043269210
Title
President
Phone
(847) 328-5550

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

800 Austin St
Suite 269, East Tower
Evanston, IL 60202-3439

Mailing address

800 Austin St
Suite 269, East Tower
Evanston, IL 60202-3439
Phone (847) 328-5550

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080819000686 IL Part B Supplier - Clinic/Group Practice 6709951163 Receives reassigned benefits from 1 practitioner
Practice locations: Chicago, IL; Evanston, IL

National Provider Directory

National Provider Directory

Locations

222 W Division St
Chicago, IL 60610

800 Austin St
Ste 503
Evanston, IL 60202
Phone (847) 328-5550

800 Austin St
Ste 503W
Evanston, IL 60202
Phone (847) 869-0999

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1214179200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214179200000",
    "number": "1932360864",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 AUSTIN ST",
            "address_2": "SUITE 269, EAST TOWER",
            "city": "EVANSTON",
            "state": "IL",
            "postal_code": "602023439",
            "telephone_number": "847-328-5550",
            "fax_number": "847-328-5606"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 AUSTIN ST",
            "address_2": "SUITE 269, EAST TOWER",
            "city": "EVANSTON",
            "state": "IL",
            "postal_code": "602023439",
            "telephone_number": "847-328-5550",
            "fax_number": "847-328-5606"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CONSULTANTS IN KIDNEY DISEASE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-23",
        "last_updated": "2008-06-23",
        "status": "A",
        "authorized_official_last_name": "KESANI",
        "authorized_official_first_name": "AJIT",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "847-328-5550",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Evanston, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2008; 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.