KIDNEY CENTER SOUTH LLC
KIDNEY CENTER SOUTH LLC is an organization registered with the National Plan and Provider Enumeration System (NPPES) under NPI 1063878072, based in Tinley Park, IL. It is classified under End-Stage Renal Disease (ESRD) Treatment Clinic/Center.
Getting there
The practice address on file is 16767 80TH AVE, Tinley Park, IL 60477. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.
Credentials and Medicare
NPPES does not list a state licence number for this record. That is not unusual — organizations and some provider types are not required to file one. Verify current licensure with the relevant state board before care.
- Status
- Approved
- Provider type
- Part A Provider - End-stage Renal Disease Facility (esrd)
- PAC ID
- 0446555833
- Enrollment ID
- O20160223001291
Medicare enrolment is recorded as approved under the provider type Part A Provider - End-stage Renal Disease Facility (esrd). Being enrolled means the provider can bill Medicare; it does not tell you whether they are currently accepting new Medicare patients. Call the office to confirm.
What End-Stage Renal Disease (ESRD) Treatment covers
Definition to come... NUCC Health Care Provider Taxonomy, code 261QE0700X
The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.
Full NPPES record
An NPI-2 identifies an organization — a clinic, hospital, group practice, laboratory, or supplier. Individual clinicians working there hold their own NPI-1 numbers separately, so a bill may reference both.
| NPI | 1063878072 valid check digit |
|---|---|
| Entity type | Organization (NPI-2) |
| Enumeration date | Jan 6, 2016 |
| Last updated | Jun 11, 2025 |
| Status | Active |
| Practice address |
16767 80TH AVE Tinley Park, IL 60477 (708) 429-4738 Fax (708) 429-4984 |
| Mailing address |
5200 VIRGINIA WAY L&C DEPARTMENT Brentwood, TN 37027 |
Number check
How the check works, step by step
Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.
| Digit | 8 | 0 | 8 | 4 | 0 | 1 | 0 | 6 | 3 | 8 | 7 | 8 | 0 | 7 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Doubled? | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 |
| Value | 8 | 0 | 8 | 8 | 0 | 2 | 0 | 3 | 3 | 7 | 7 | 7 | 0 | 5 |
Sum = 58 · next multiple of 10 = 60 · check digit = 2 · actual last digit = 2
A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.