EXCEL KIDNEY CARE LLC
NPI 1457733180
Internal Medicine - Nephrology in Chicago, IL

Active since June 18, 2015
3002 N ASHLAND AVE, CHICAGO, IL 60657(773) 296-3003(773) 296-3002 Get Directions Write a Review

NPPES record last updated: May 21, 2016. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Excel Kidney Care Llc NPPES

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

EXCEL KIDNEY CARE LLC (NPI 1457733180) is a healthcare organization registered as a nephrology in Chicago, Illinois and active in the NPI registry since June 2015. The organization lists Abdul Mubeen Mohammed, Ceo, as its authorized official.

NPPES Registry Identity

NPI1457733180
Entity TypeOrganization
Primary Taxonomy207RN0300X
Legal Business NameEXCEL KIDNEY CARE LLC
Location Address3002 N ASHLAND AVEChicago, IL 60657-3012
Mailing AddressPo Box 68698Schaumburg, IL 60168-0698 · (773) 296-3003 · Fax (773) 296-3002
Fax(773) 296-3002
Organization SubpartNo
Authorized OfficialAbdul Mubeen MohammedCeo · (281) 853-4429
Enumeration DateJune 18, 2015
Last NPPES UpdateMay 21, 2016
✔ NPI 1457733180 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · NephrologyAllopathic & Osteopathic Physicians
Taxonomy Code207RN0300X
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.
3002 N ASHLAND AVE, Chicago, IL 60657

Other Identifiers 4

OtherHEALTHLINKIL · C81662
Other7642518IL · 7642518
Medicare PINF100238340IL
Medicaid1457733180IL

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Excel Kidney Care Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Excel Kidney Care LLC, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 2 within 10 miles. They are listed nearest first.

Clinicians, nearest first (2)

Nephrology
NPI 1578720777
3002 N ASHLAND AVE
Chicago, IL 60657
(773) 296-3003
✔ PECOSSame address
Nurse Practitioner
NPI 1679128144
3017 N ASHLAND AVE
Chicago, IL 60657
(773) 296-3003
✔ PECOS✔ Accepts Medicare0.1 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 Excel Kidney Care LLC's NPI number?

The NPI number for Excel Kidney Care LLC is 1457733180. It was assigned to this organization in the NPPES registry on June 18, 2015.

Where is Excel Kidney Care LLC located?

Excel Kidney Care LLC is located at 3002 N Ashland Ave, Chicago, IL 60657. The listed phone number is (773) 296-3003.

What is Excel Kidney Care LLC's specialty?

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

Is Excel Kidney Care LLC enrolled in Medicare?

Yes. Excel Kidney Care LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Excel Kidney Care LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians reassign their Medicare billing to Excel Kidney Care LLC, in Nephrology and Nurse Practitioner. 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. Of these, 1 practice at this address and 2 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Excel Kidney Care LLC was last updated on May 21, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.