NORTHEAST NEPHROLOGY CONSULTANTS
NPI 1114035615
Internal Medicine - Nephrology in Joliet, IL

Active since August 26, 2006
3100 THEODORE ST STE 201, JOLIET, IL 60435(815) 717-8750(815) 717-8751 Get Directions Write a Review

NPPES record last updated: August 19, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Aug 19, 2024, Dec 28, 2018 (2 updates tracked since 2018).

About Northeast Nephrology Consultants NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

NORTHEAST NEPHROLOGY CONSULTANTS (NPI 1114035615) is a healthcare organization registered as a nephrology in Joliet, Illinois and active in the NPI registry since August 2006. The organization maintains a secondary practice location in New Lenox and lists Kristin L Joyce, Senior Revenue Cycle Supervisor, as its authorized official.

NPPES Registry Identity

NPI1114035615
Entity TypeOrganization
Primary Taxonomy207RN0300X
Legal Business NameNORTHEAST NEPHROLOGY CONSULTANTS
Location Address3100 THEODORE ST STE 201Joliet, IL 60435-0605
Mailing Address3100 Theodore Street, Suite 201Joliet, IL 60435 · (815) 744-5550 · Fax (815) 744-5428
Fax(815) 717-8751
Organization SubpartNo
Authorized OfficialKristin L JoyceSenior Revenue Cycle Supervisor · (331) 216-1163
Enumeration DateAugust 26, 2006
Last NPPES UpdateAugust 19, 20242 updates tracked since enumeration
NPPES CertifiedAugust 19, 2024
✔ NPI 1114035615 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · NephrologyAllopathic & Osteopathic Physicians
Taxonomy Code207RN0300X
License✔ Licensed in IL · 042.005614
Definition
An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.
3100 THEODORE ST STE 201, Joliet, IL 60435

Secondary Practice Location 1

Location 11890 Silver Cross Blvd Ste 415New Lenox, IL 60451-9575 · Phone (815) 717-8750

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

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)

Northeast Nephrology Consultants is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

4

Medicare enrollment records show 4 clinicians reassign Medicare billing to Northeast Nephrology Consultants, which bills Medicare for the services they deliver. Of these, 3 practice at this address. They are listed nearest first.

Clinicians, nearest first (4)

Nephrology
NPI 1639392939
3100 THEODORE STREET SUITE 201
Joliet, IL 60435
(815) 744-5550
✔ PECOS✔ Accepts MedicareSame address
Nephrology
NPI 1447368949
3100 THEODORE STREET, STE 201
Joliet, IL 60435
(815) 744-5550
✔ PECOS✔ Accepts MedicareSame address
Nephrology
NPI 1841308335
3100 THEODORE STREET SUITE 201
Joliet, IL 60435
(815) 744-5550
✔ PECOS✔ Accepts MedicareSame address
Diagnostic Radiology
NPI 1982973459
4646 N MARINE DR
Chicago, IL 60640
(773) 564-5225
✔ PECOS✔ Accepts Medicare39 mi

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 Northeast Nephrology Consultants's NPI number?

The NPI number for Northeast Nephrology Consultants is 1114035615. It was assigned to this organization in the NPPES registry on August 26, 2006.

Where is Northeast Nephrology Consultants located?

Northeast Nephrology Consultants is located at 3100 Theodore St Ste 201, Joliet, IL 60435. The listed phone number is (815) 717-8750.

What is Northeast Nephrology Consultants's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Nephrology, with taxonomy code 207RN0300X.

Is Northeast Nephrology Consultants enrolled in Medicare?

Yes. Northeast Nephrology Consultants is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Northeast Nephrology Consultants?

According to the CMS Revalidation Reassignment List (October 2026 release), 4 clinicians in 2 Medicare specialties reassign their Medicare billing to Northeast Nephrology Consultants. 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 (3) and Diagnostic Radiology (1). Of these, 3 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Northeast Nephrology Consultants accept?

Health plans from Ambetter Health and Ambetter Health of Delaware list Northeast Nephrology Consultants 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 Northeast Nephrology Consultants was last updated on August 19, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.