Renalcare Associates, S.C.
NPI 1649300377ActiveOrganization· Internal Medicine, Nephrology· Peoria, IL
Internal Medicine, Nephrology in Peoria, Illinois, registered in NPPES in March 2007. The authorized official on file is Stephanie Eyman, Administrative Assistant. Enrolled in Medicare as part b supplier - clinic/group practice and part b supplier - clinic/group practice.
Overview
| NPI | 1649300377 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Mar 6, 2007 |
| Last updated in NPPES | Jun 24, 2026 |
| Certified by provider | Jun 24, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Internal Medicine, Nephrology Primary | 207RN0300X | 042003556 | IL |
| Surgery | 208600000X | 042003556 | IL |
| Physician Assistant | 363A00000X | — | — |
| Nurse Practitioner | 363L00000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (IA); Part B Supplier - Clinic/Group Practice (IL) |
|---|
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