KIDNEY HEALTH CARE PC
NPI 1043555360
Internal Medicine - Nephrology in Pekin, IL
About Kidney Health Care Pc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KIDNEY HEALTH CARE PC (NPI 1043555360) is a healthcare organization registered as a nephrology in Pekin, Illinois and active in the NPI registry since November 2012. The organization lists Ahsan Usman, Ceo, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Kidney Health Care Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Kidney Health Care PC, which bills Medicare for the services this clinician delivers.
Clinician (1)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Kidney Health Care PC's NPI number?
The NPI number for Kidney Health Care PC is 1043555360. It was assigned to this organization in the NPPES registry on November 28, 2012.
Where is Kidney Health Care PC located?
Kidney Health Care PC is located at 19 Olt Ave, Pekin, IL 61554. The listed phone number is (309) 642-6705.
What is Kidney Health Care PC's specialty?
The primary specialty registered for this NPI is Internal Medicine, specializing in Nephrology, with taxonomy code 207RN0300X.
Is Kidney Health Care PC enrolled in Medicare?
Yes. Kidney Health Care PC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Kidney Health Care PC?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Internal Medicine) reassigns their Medicare billing to Kidney Health Care PC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Kidney Health Care PC was last updated on November 28, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Kidney Health Care Pc · NPI 1043555360
Nephrology organization in Pekin, Illinois. Organization record, active in the CMS NPPES registry since November 28, 2012.
## Identity
- **NPI:** 1043555360 (Entity type: Organization)
- **Enumerated:** November 28, 2012
- **Primary specialty:** Internal Medicine - Nephrology · taxonomy 207RN0300X
- **Organization subpart:** No
- **Authorized official:** Ahsan Usman, CEO
## Practice location
- **Address:** 19 OLT AVE, Pekin, IL 61554-6214
- **Phone:** (309) 642-6705 · **Fax:** (309) 347-2623
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Internal Medicine) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** November 28, 2012
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Source: [NPI Profile](https://npiprofile.com/npi/1043555360) · Data from the CMS NPPES public registry.