YORKVILLE DIALYSIS CENTER, LLC – End-Stage Renal Disease (ESRD) Treatment Clinic/Center, NPI 1376771972

YORKVILLE DIALYSIS CENTER, LLC is a healthcare provider. based in Aurora, Illinois. specializing in End-Stage Renal Disease (ESRD) Treatment Clinic/Center. The NPI Number for YORKVILLE DIALYSIS CENTER, LLC is 1376771972

Main info

Organization
Name
YORKVILLE DIALYSIS CENTER, LLC
NPI
1376771972
Phone
(630) 851-4812
Address
1300 WATERFORD DR
Authorized Official
MR. CALVIN GANONG CHIEF OPERATING OFFICER
Enumeration Date
23 June 2009
Last Update Date
23 June 2009
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience37
Completeness75
Years active:16State licenses:0Digital endpointsOther names

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Provider Addresses for YORKVILLE DIALYSIS CENTER, LLC

  • Waterford Drive, Aurora, Kane County, Illinois, 60503, United States

    AURORA, IL 605045502

    Phone: (630) 851-4812

    Fax: (630) 851-7261

    Type: Mailing

  • 1400, East Beecher Road, Yorkville, Bristol Township, Kendall County, Illinois, 60512, United States

    YORKVILLE, IL 605605600

    Phone: (630) 851-4812

    Fax: (630) 851-7261

    Type: Location

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: 2009-09-04

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

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
O20090904000273OEnd-Stage Renal Disease Facility (Esrd)ILTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

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 60504)

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Reviews

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Frequently asked questions

Is YORKVILLE DIALYSIS CENTER, LLC listed with a National Provider Identifier?
Yes — YORKVILLE DIALYSIS CENTER, LLC has NPI 1376771972 on file in the registry.
Active or inactive — what applies to YORKVILLE DIALYSIS CENTER, LLC?
You should see YORKVILLE DIALYSIS CENTER, LLC as active in CMS-hosted NPPES data.
What area of care is associated with YORKVILLE DIALYSIS CENTER, LLC?
YORKVILLE DIALYSIS CENTER, LLC's record emphasizes End-Stage Renal Disease (ESRD) Treatment Clinic/Center. Clinical services aligned with this taxonomy classification.
What locale is associated with YORKVILLE DIALYSIS CENTER, LLC?
Directory geography for YORKVILLE DIALYSIS CENTER, LLC centers on Aurora, Illinois.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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