SOUTHWEST NEPHROLOGY ASSOCIATES, S.C.
NPI 1104925163
Clinic/Center - Ambulatory Surgical in Orland Park, IL
About Southwest Nephrology Associates, S.c. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SOUTHWEST NEPHROLOGY ASSOCIATES, S.C. (NPI 1104925163) is a healthcare organization registered as an ambulatory surgical in Orland Park, Illinois and active in the NPI registry since September 2006. The organization holds 2 active CLIA laboratory certificates, maintains a secondary practice location in Evergreen Park, and lists Naomi Cassin, Credentialing Manager, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 2
Secondary Practice Location 1
Group Practice 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Southwest Nephrology Associates, S.c. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
16Medicare enrollment records show 16 clinicians reassign Medicare billing to Southwest Nephrology Associates, S.C., which bills Medicare for the services they deliver. They are listed nearest first.
Clinicians by Medicare Specialty 2
Clinicians, nearest first (16)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
CLIA Laboratory Certificates CMS CLIA 2
Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.
Certificate of Waiver 14D0419880
Southwest Nephrology Associates Sc · Evergreen Park, ILCertificate of Waiver 14D1030529
Southwest Nephrology Associates Sc · Orland Park, ILFrequently 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 Southwest Nephrology Associates, S.C.'s NPI number?
The NPI number for Southwest Nephrology Associates, S.C. is 1104925163. It was assigned to this organization in the NPPES registry on September 22, 2006.
Where is Southwest Nephrology Associates, S.C. located?
Southwest Nephrology Associates, S.C. is located at 16605 107th St, Orland Park, IL 60467. The listed phone number is (708) 226-9860.
What is Southwest Nephrology Associates, S.C.'s specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Ambulatory Surgical, with taxonomy code 261QA1903X.
Is Southwest Nephrology Associates, S.C. enrolled in Medicare?
Yes. Southwest Nephrology Associates, S.C. is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Southwest Nephrology Associates, S.C.?
According to the CMS Revalidation Reassignment List (October 2026 release), 16 clinicians in 2 Medicare specialties reassign their Medicare billing to Southwest Nephrology Associates, S.C.. 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. The largest specialties are Nephrology (13) and Nurse Practitioner (3). Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Southwest Nephrology Associates, S.C. hold CLIA laboratory certificates?
Yes. 2 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.
What insurance does Southwest Nephrology Associates, S.C. accept?
Health plans from Ambetter Health and Ambetter Health of Delaware list Southwest Nephrology Associates, S.C. as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Southwest Nephrology Associates, S.C. was last updated on February 4, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 months 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.
# Southwest Nephrology Associates, S.c. · NPI 1104925163
Ambulatory Surgical organization in Orland Park, Illinois. Organization record, active in the CMS NPPES registry since September 22, 2006.
## Identity
- **NPI:** 1104925163 (Entity type: Organization)
- **Enumerated:** September 22, 2006
- **Primary specialty:** Clinic/Center - Ambulatory Surgical · taxonomy 261QA1903X
- **Organization subpart:** No
- **Authorized official:** Naomi Cassin, CREDENTIALING MANAGER
## Practice location
- **Address:** 16605 107TH ST, Orland Park, IL 60467-9016
- **Phone:** (708) 226-9860
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 16 clinicians in 2 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nephrology (13), Nurse Practitioner (3) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** February 4, 2026
- **CLIA laboratory certificates:** 2 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1104925163) · Data from the CMS NPPES public registry.