RENAL INTERVENTION CENTER PLLC NPI 1639242506

NPI Details

RENAL INTERVENTION CENTER, PLLC is an ambulatory surgical clinic center in Morton, IL. RENAL INTERVENTION CENTER, PLLC NPI is 1639242506. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

430 MAXINE DR
MORTON, IL
ZIP 61550-495
Phone: (309) 266-7600
Fax: (309) 266-7680

The provider's authorized official is Samer B Sader .
The authorized official title is Medical Director and has the following contact phone number (309) 676-8123.

The CLIA number assigned to this NPI record is 14D1013189 - ambulatory surgery center with a certificate type of Certificate of Waiver.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

• Insertion of needle and/or tube into hemodialysis circuit and balloon dilation of dialysis segment with review by radiologist (HCPCS:36902)
• Removal of tunneled central venous tube (HCPCS:36589)
• Removal and/or dissolving of blood clot in hemodialysis circuit and balloon dilation of dialysis segment with imaging review by radiologist, with balloon tube (HCPCS:36905)
• Relocation of arm vein with connection to arm artery for hemodialysis (HCPCS:36821)
• Removal and/or dissolving of blood clot in hemodialysis circuit and balloon dilation of dialysis segment and placement of stent with review by radiologist (HCPCS:36906)
• Complete ultrasound of artery and vein blood flow pre-op assessment on both sides of body for hemodialysis access (HCPCS:93985)
• Insertion of needle and/or tube into hemodialysis circuit with review by radiologist (HCPCS:36901)
• Insertion of tunneled central venous tube for infusion (5 years or older) (HCPCS:36558)
• Creation of artery-vein connection using tube graft for hemodialysis (HCPCS:36830)
• Insertion of needle and/or tube into hemodialysis circuit and insertion of stent in dialysis segment with review by radiologist (HCPCS:36903)
• Removal of abdominal cavity tube (HCPCS:49422)
• Replacement of tunneled central venous tube (HCPCS:36581)
• Removal and/or dissolving of blood clot in hemodialysis circuit and balloon dilation of dialysis segment with review by radiologist (HCPCS:36904)
• Revision of hemodialysis graft (HCPCS:36832)
• Tying or banding of surgically created artery-vein connection (HCPCS:37607)
• Insertion of abdominal tube using imaging guidance with review by radiologist (HCPCS:49418)

The enumeration date for this NPI number is 11/16/2006 and was last updated on 7/23/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available: