Nephrology & Internal Medicine Inc – Ambulatory Surgical Clinic/Center, NPI 1548785116
Ambulatory Surgical Clinic/Center
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Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for Nephrology & Internal Medicine Inc
120 W 22ND ST
SUITE 200
OAK BROOK, IL 605231563
Phone: (630) 573-5000
Fax: (630) 368-0280
Type: Mailing
North Senate Avenue, Fayette Street Conservation Area, Indianapolis, Marion, Indiana, 46202, United States
INDIANAPOLIS, IN 462022211
Phone: (630) 573-5000
Fax: (317) 634-0921
Type: Location
5510 S EAST ST STE H
INDIANAPOLIS, IN 462271938
Phone: (317) 924-8425
Fax: (317) 924-8424
Type: Mailing
5540 S. EAST STREET
SUITE 100
INDIANAPOLIS, IN 462274622
Phone: (317) 924-8425
Fax: (317) 634-0921
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
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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: 2017-10-11
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Past revalidation due date
Earliest CMS due date was 2026-01-31 (130 days ago).
Enrollment records
1
Earliest due date
2026-01-31
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| O20171011001819 | O | Ambulatory Surgical Center | IN | 2026-01-31 |
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.
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.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 36902 | Insertion of needle and/or tube into hemodialysis circuit and balloon dilation of dialysis segment with review by radiologist | 70 | 57 | $0 |
| J2997 | Injection, alteplase recombinant, 1 mg | 38 | 15 | $0 |
| 36589 | Removal of tunneled central venous tube | 23 | 21 | $0 |
| 36905 | Removal and/or dissolving of blood clot in hemodialysis circuit and balloon dilation of dialysis segment with imaging review by radiologist, with balloon tube | 18 | 14 | $0 |
| 36581 | Replacement of tunneled central venous tube | 16 | 14 | $0 |
Insurance plans in this area (ZIP 60523)
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