PRIMARY CARE WEST, S.C. – Health Service Clinic/Center, NPI 1154478766

PRIMARY CARE WEST, S.C. is a healthcare provider. based in Aurora, Illinois. specializing in Health Service Clinic/Center. The organization holds a License No. 042617613 (IL). The NPI Number for PRIMARY CARE WEST, S.C. is 1154478766

Main info

Organization
Name
PRIMARY CARE WEST, S.C.
NPI
1154478766
Phone
(630) 897-9606
Address
1300 N HIGHLAND AVE
Authorized Official
DAVE MANTE PRESIDENT M.D.
Enumeration Date
4 January 2007
Last Update Date
3 February 2011
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

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Provider Addresses for PRIMARY CARE WEST, S.C.

  • 1300, North Highland Avenue, Aurora, Kane County, Illinois, 60506, United States

    SUITE 2

    AURORA, IL 605061451

    Phone: (630) 897-9606

    Fax: (630) 897-9625

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2011-01-28

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Past revalidation due date

Earliest CMS due date was 2024-07-31 (681 days ago).

Enrollment records

1

Earliest due date

2024-07-31

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
O20110128001080OClinic/Group PracticeIL2024-07-31

What to do next

  • Verify current status on the CMS Revalidation Lookup Tool immediately.
  • Complete revalidation in PECOS or contact your Medicare Administrative Contractor (MAC).
  • Overdue revalidation can lead to deactivation of Medicare billing privileges.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 60506)

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Reviews

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Frequently asked questions

How do I look up PRIMARY CARE WEST, S.C. by NPI?
Use NPI 1154478766 when you need to reference PRIMARY CARE WEST, S.C. in forms, claims, or directories.
Does this profile mean PRIMARY CARE WEST, S.C. is currently active?
Yes — PRIMARY CARE WEST, S.C. appears active in the national provider directory.
What does PRIMARY CARE WEST, S.C. treat or focus on?
Patients typically see PRIMARY CARE WEST, S.C. under the specialty Health Service Clinic/Center. Clinical services aligned with this taxonomy classification.
Where is PRIMARY CARE WEST, S.C.'s primary listing?
We display Aurora, Illinois because that is what the record indicates for PRIMARY CARE WEST, S.C..
Is this NPI for an individual or an organization?
This listing corresponds to an Organization.

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