KIDNEY HEALTH CENTER LLC
NPI 1225848435
Internal Medicine - Nephrology in Libertyville, IL
About Kidney Health Center Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KIDNEY HEALTH CENTER LLC (NPI 1225848435) is a healthcare organization registered as a nephrology in Libertyville, Illinois and active in the NPI registry since January 2025. The organization lists Omar Dalloul, Owner, 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 Center Llc 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 Center LLC, 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 Center LLC's NPI number?
The NPI number for Kidney Health Center LLC is 1225848435. It was assigned to this organization in the NPPES registry on January 9, 2025.
Where is Kidney Health Center LLC located?
Kidney Health Center LLC is located at 1860 W Winchester Rd Ste 107, Libertyville, IL 60048. The listed phone number is (847) 247-1010.
What is Kidney Health Center LLC's specialty?
The primary specialty registered for this NPI is Internal Medicine, specializing in Nephrology, with taxonomy code 207RN0300X.
Is Kidney Health Center LLC enrolled in Medicare?
Yes. Kidney Health Center LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Kidney Health Center LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nephrology) reassigns their Medicare billing to Kidney Health Center LLC. 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 Center LLC was last updated on January 9, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 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.
# Kidney Health Center Llc · NPI 1225848435
Nephrology organization in Libertyville, Illinois. Organization record, active in the CMS NPPES registry since January 9, 2025.
## Identity
- **NPI:** 1225848435 (Entity type: Organization)
- **Enumerated:** January 9, 2025
- **Primary specialty:** Internal Medicine - Nephrology · taxonomy 207RN0300X
- **Organization subpart:** No
- **Authorized official:** Omar Dalloul, OWNER
## Practice location
- **Address:** 1860 W WINCHESTER RD STE 107, Libertyville, IL 60048-5312
- **Phone:** (847) 247-1010 · **Fax:** (847) 247-1011
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Nephrology) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** January 9, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1225848435) · Data from the CMS NPPES public registry.