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RENALCARE ASSOCIATES, S.C.
NPI 1649300377
Internal Medicine - Nephrology in Peoria, IL

Active since March 06, 2007CLIA Certified · 8 labs
420 NE GLEN OAK AVE STE 401, PEORIA, IL 61603(309) 676-8123(309) 676-8455 Get Directions Write a Review

NPPES record last updated: June 24, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jul 2, 2025, Jun 17, 2025, Jun 12, 2025 and 3 more (6 updates tracked since 2018).

About Renalcare Associates, S.c. NPPES

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

RENALCARE ASSOCIATES, S.C. (NPI 1649300377) is a healthcare organization registered as a nephrology in Peoria, Illinois and active in the NPI registry since March 2007. The organization holds 8 active CLIA laboratory certificates, maintains 30 additional practice locations, and lists Stephanie Eyman, Administrative Assistant, as its authorized official.

NPPES Registry Identity

NPI1649300377
Entity TypeOrganization
Primary Taxonomy207RN0300X
Legal Business NameRENALCARE ASSOCIATES, S.C.
Location Address420 NE GLEN OAK AVE STE 401Peoria, IL 61603-3112
Mailing Address420 Ne Glen Oak Ave Ste 401Peoria, IL 61603-3112 · (309) 676-8123 · Fax (309) 676-8455
Phone(309) 676-8123
Fax(309) 676-8455
Organization SubpartNo
Authorized OfficialStephanie EymanAdministrative Assistant · (309) 624-9259
Enumeration DateMarch 6, 2007
Last NPPES UpdateJune 24, 20266 updates tracked since enumeration
NPPES CertifiedJune 24, 2026
✔ NPI 1649300377 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyInternal Medicine · NephrologyAllopathic & Osteopathic Physicians
Taxonomy Code207RN0300X
License✔ Licensed in IL · 042003556
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.
Also ListedSurgeryTaxonomy 208600000X · License 042003556 (IL)
Also ListedPhysician AssistantTaxonomy 363A00000X
Also ListedNurse PractitionerTaxonomy 363L00000X
420 NE GLEN OAK AVE STE 401, Peoria, IL 61603
Open in Google Maps ↗

Other Names 1

Other NameIllinois Kidney Disease And Hypertension Center

Secondary Practice Locations 30

Location 1525 E Grant St 2nd floorMacomb, IL 61455-3351 · Phone (309) 676-8123 · Fax (309) 676-8455
Location 2101 W 2nd StDixon, IL 61021-3030 · Phone (309) 517-3036 · Fax (309) 676-8455
Location 31514 Mulberry Ave Ste 302Muscatine, IA 52761-3433 · Phone (309) 571-3036
Location 41104 W Evergreen AveEffingham, IL 62401-1710 · Phone (309) 676-8123 · Fax (309) 676-8455
Location 52623 17th StRock Island, IL 61201-5345 · Phone (309) 517-3036 · Fax (309) 676-8455
Location 6880 Crosstown AveSilvis, IL 61282-1621 · Phone (309) 517-3036 · Fax (309) 676-8455
Location 74480 Utica Ridge Rd Ste 1130Bettendorf, IA 52722-1644 · Phone (309) 517-3036 · Fax (309) 676-8455
Location 8200 Professional PlzMattoon, IL 61938-9280 · Phone (309) 676-8123 · Fax (309) 676-8455
Location 91000 Health Center DrMattoon, IL 61938-4644 · Phone (309) 676-8123 · Fax (309) 676-8455
Location 10600 S 13th St Ste KPekin, IL 61554-4936 · Phone (309) 676-8123 · Fax (309) 676-8455
Location 111302 Franklin Ave Ste 3000Normal, IL 61761-6522 · Phone (309) 663-4766 · Fax (309) 676-8455
Location 12180 S Main Ste, Ste 2iCanton, IL 61520 · Phone (309) 676-8123 · Fax (309) 676-8455
Location 13834 N Seminary St Ste 501Galesburg, IL 61401-0501 · Phone (309) 343-4114 · Fax (309) 676-8455
Location 141051 W South StKewanee, IL 61443-8354 · Phone (309) 676-8123 · Fax (309) 676-8455
Location 15400 John Deere Rd Bldg 2Moline, IL 61265-6898 · Phone (309) 517-3036
Location 161401 E 12th StMendota, IL 61342-9216 · Phone (309) 676-8123 · Fax (309) 676-8455
Location 171000 W Harlem AveMonmouth, IL 61462-1007 · Phone (309) 676-8123 · Fax (309) 676-8455
Location 181050 E Norris Dr Ste 2BOttawa, IL 61350-1611 · Phone (815) 431-0785 · Fax (309) 676-8455
Location 19530 Park Ave E Ste 403Princeton, IL 61356-3901 · Phone (309) 676-8123 · Fax (309) 676-8455
Location 20920 West St Ste 212Peru, IL 61354-2769 · Phone (309) 676-8123 · Fax (309) 676-8455
Location 215401 N Knoxville Ave Ste 300Peoria, IL 61614-5021 · Phone (309) 676-8123 · Fax (309) 676-8455
Location 22702 S Rittenhouse DrPontiac, IL 61764-3630 · Phone (309) 676-8123 · Fax (309) 676-8455
Location 23430 Maxine DrMorton, IL 61550-2495 · Phone (309) 266-7600 · Fax (309) 676-8455
Location 24120 W Locust StDavenport, IA 52803-2826 · Phone (309) 517-3036
Location 25600 N College Ave Ste 220Geneseo, IL 61254-1092 · Phone (309) 517-3036 · Fax (309) 676-8455
Location 261762 Washington RdWashington, IL 61571-2181 · Phone (309) 676-8123 · Fax (309) 676-8455
Location 271400 W Park StUrbana, IL 61801-2334 · Phone (309) 676-8123 · Fax (309) 676-8455
Location 28311 Parham StMuscatine, IA 52761-2604 · Phone (309) 517-3036
Location 294480 Utica Ridge Rd Ste 2222Bettendorf, IA 52722-1644 · Phone (309) 517-3039
Location 30400 John Deere Rd Bldg 1Moline, IL 61265-6898 · Phone (309) 517-3036 · Fax (309) 676-8455

Other Identifiers 1

OtherCA301IL · Railroad Medicare

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

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter Health of Delaware.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)

Renalcare Associates, S.c. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

52

Medicare enrollment records show 52 clinicians reassign Medicare billing to Renalcare Associates, S.C., which bills Medicare for the services they deliver. Of these, 24 practice at this address. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 5

Nephrology33
Nurse Practitioner15
General Surgery2
Certified Clinical Nurse Specialist (CNS)1
Clinical Social Worker1

Nearest to this location (20)

See all 52
Alexander Alonso, M.D.
Nephrology
NPI 1124152707
420 NE GLEN OAK AVE STE 401
Peoria, IL 61603
(309) 676-8123
✔ PECOS✔ Accepts MedicareSame address
Sudha Cherukuri, MD
Nephrology
NPI 1629126222
420 NE GLEN OAK AVE STE 401
Peoria, IL 61603
(309) 676-8123
✔ PECOS✔ Accepts MedicareSame address
Judith Dansizen, CNS
Certified Clinical Nurse Specialist (CNS)
NPI 1558493155
420 NE GLEN OAK AVE STE 401
Peoria, IL 61603
(309) 676-8123
✔ PECOS✔ Accepts MedicareSame address
Michelle Dehne
Nurse Practitioner
NPI 1962994707
420 NE GLEN OAK AVE STE 401
Peoria, IL 61603
(309) 676-8123
✔ PECOS✔ Accepts MedicareSame address
Chaitanya Desai, M.D.
Nephrology
NPI 1508090234
420 NE GLEN OAK AVE STE 401
Peoria, IL 61603
(309) 676-8123
✔ PECOS✔ Accepts MedicareSame address
Vishwanath Halukurike, M.D.
Nephrology
NPI 1437243656
420 NE GLEN OAK AVE STE 401
Peoria, IL 61603
(309) 676-8123
✔ PECOS✔ Accepts MedicareSame address
Courtney Harley, ANP
Nurse Practitioner
NPI 1003361049
420 NE GLEN OAK AVE STE 401
Peoria, IL 61603
(309) 676-8123
✔ PECOS✔ Accepts MedicareSame address
Anthony Horinek, MD
Nephrology
NPI 1609907195
420 NE GLEN OAK AVE STE 401
Peoria, IL 61603
(309) 676-8123
✔ PECOS✔ Accepts MedicareSame address
David Houser, MD
Nephrology
NPI 1629344064
420 NE GLEN OAK AVE STE 401
Peoria, IL 61603
(309) 676-8123
✔ PECOS✔ Accepts MedicareSame address
Raji Jacob, MD
Nephrology
NPI 1538325477
420 NE GLEN OAK AVE STE 401
Peoria, IL 61603
(309) 676-8123
✔ PECOS✔ Accepts MedicareSame address
Gordon James, MD
Nephrology
NPI 1124158431
420 NE GLEN OAK AVE STE 401
Peoria, IL 61603
(309) 676-8123
✔ PECOS✔ Accepts MedicareSame address
Christopher Johnson, M.D.
Nephrology
NPI 1407086283
420 NE GLEN OAK AVE STE 401
Peoria, IL 61603
(309) 676-8123
✔ PECOS✔ Accepts MedicareSame address
Sabrina Jones, APN
Nurse Practitioner
NPI 1245053669
420 NE GLEN OAK AVE STE 401
Peoria, IL 61603
(309) 676-8123
✔ PECOS✔ Accepts MedicareSame address
Muhammad Khattak, M.D.
Nephrology
NPI 1669648309
420 NE GLEN OAK AVE STE 401
Peoria, IL 61603
(309) 676-8123
✔ PECOS✔ Accepts MedicareSame address
Ian Lewis, D.O.
Nephrology
NPI 1053937995
420 NE GLEN OAK AVE STE 401
Peoria, IL 61603
(309) 676-8123
✔ PECOS✔ Accepts MedicareSame address
Tonya Mcdougall, NP
Nurse Practitioner
NPI 1700917119
420 NE GLEN OAK AVE STE 401
Peoria, IL 61603
(309) 676-8123
✔ PECOS✔ Accepts MedicareSame address
Tiara Mullen, APRN
Nurse Practitioner
NPI 1164062196
420 NE GLEN OAK AVE STE 401
Peoria, IL 61603
(309) 676-8123
✔ PECOS✔ Accepts MedicareSame address
Timothy Oconnor, M.D.
General Surgery
NPI 1710974597
420 NE GLEN OAK AVE STE 401
Peoria, IL 61603
(309) 676-8123
✔ PECOS✔ Accepts MedicareSame address
Timothy Pflederer, MD
Nephrology
NPI 1154451573
420 NE GLEN OAK AVE STE 401
Peoria, IL 61603
(309) 676-8123
✔ PECOS✔ Accepts MedicareSame address
Danette Wilkinson, ANP
Nurse Practitioner
NPI 1962169938
420 NE GLEN OAK AVE STE 401
Peoria, IL 61603
(309) 676-8123
✔ PECOS✔ Accepts MedicareSame address
See all 52 clinicians

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 8

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 for Provider-Performed Microscopy Procedures (PPMP) 14D0431219

Renalcare Associates S C · Galesburg, IL
Active · expires Mar 13, 2028
CLIA Number14D0431219
Laboratory TypePhysician Office
Certificate Effective DateMarch 14, 2026
Certificate Expiration DateMarch 13, 2028
Laboratory DirectorParthasarathy Srinivasan M D
Laboratory Phone(309) 343-4114
Laboratory LocationRenalcare Associates S C834 N Seminary St - Ste 501, Galesburg, IL 61401
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

Certificate for Provider-Performed Microscopy Procedures (PPMP) 14D1072143

Renalcare Associates S C · Peoria, IL
Active · expires Aug 8, 2027
CLIA Number14D1072143
Laboratory TypePhysician Office
Certificate Effective DateAugust 9, 2025
Certificate Expiration DateAugust 8, 2027
Laboratory DirectorChristopher K. Johnson
Laboratory Phone(309) 676-8123
Laboratory LocationRenalcare Associates S C420 NE Glen Oak Ave, Suite 401, Peoria, IL 61603
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

Certificate for Provider-Performed Microscopy Procedures (PPMP) 14D2052400

Renalcare Associates S C · Kewanee, IL
Active · expires Jan 8, 2027
CLIA Number14D2052400
Laboratory TypePhysician Office
Certificate Effective DateJanuary 9, 2025
Certificate Expiration DateJanuary 8, 2027
Laboratory DirectorParthasarathy Srinivasan M D
Laboratory Phone(309) 676-8123
Laboratory LocationRenalcare Associates S C1051 West South, Kewanee, IL 61443
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

Certificate for Provider-Performed Microscopy Procedures (PPMP) 14D2052401

Renalcare Associates S C · Monmouth, IL
Active · expires Jan 8, 2027
CLIA Number14D2052401
Laboratory TypePhysician Office
Certificate Effective DateJanuary 9, 2025
Certificate Expiration DateJanuary 8, 2027
Laboratory DirectorParthasarathy Srinivasan M D
Laboratory Phone(309) 676-8123
Laboratory LocationRenalcare Associates S C1000 W Harlem Ave, Monmouth, IL 61462
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

Certificate for Provider-Performed Microscopy Procedures (PPMP) 14D2050560

Renalcare Associates S C · Pekin, IL
Active · expires Nov 29, 2026
CLIA Number14D2050560
Laboratory TypePhysician Office
Certificate Effective DateNovember 30, 2024
Certificate Expiration DateNovember 29, 2026
Laboratory DirectorGordon W. James
Laboratory Phone(309) 676-8123
Laboratory LocationRenalcare Associates S C600 S 13th St - Ste K, Pekin, IL 61554
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

Certificate for Provider-Performed Microscopy Procedures (PPMP) 14D0913964

Renalcare Associates Sc · Normal, IL
Active · expires Apr 16, 2028
CLIA Number14D0913964
Laboratory TypePhysician Office
Certificate Effective DateApril 17, 2026
Certificate Expiration DateApril 16, 2028
Laboratory DirectorRobert Bruna M D
Laboratory Phone(309) 663-4766
Laboratory LocationRenalcare Associates Sc1302 Franklin Ave - Ste 3000, Normal, IL 61761
CLIA data matches this NPI record on: Address Phone
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

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 Renalcare Associates, S.C.'s NPI number?

The NPI number for Renalcare Associates, S.C. is 1649300377. It was assigned to this organization in the NPPES registry on March 6, 2007. The provider is also known as Illinois Kidney Disease and Hypertension Center.

Where is Renalcare Associates, S.C. located?

Renalcare Associates, S.C. is located at 420 NE Glen Oak Ave Ste 401, Peoria, IL 61603. The listed phone number is (309) 676-8123.

What is Renalcare Associates, S.C.'s specialty?

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

Is Renalcare Associates, S.C. enrolled in Medicare?

Yes. Renalcare Associates, S.C. is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Renalcare Associates, S.C.?

According to the CMS Revalidation Reassignment List (October 2026 release), 52 clinicians in 5 Medicare specialties reassign their Medicare billing to Renalcare 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 (33), Nurse Practitioner (15) and General Surgery (2). Of these, 24 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Renalcare Associates, S.C. hold CLIA laboratory certificates?

Yes. 8 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 Renalcare Associates, S.C. accept?

Health plans from Ambetter Health and Ambetter Health of Delaware list Renalcare 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 Renalcare Associates, S.C. was last updated on June 24, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.