RENAL INTERVENTION CENTER, PLLC
NPI 1639242506
Clinic/Center - Ambulatory Surgical in Morton, IL
NPI Status: Active since November 16, 2006
Contact Information
430 MAXINE DR
MORTON, IL
ZIP 61550
Phone: (309) 266-7600
Fax: (309) 266-7680
- Organization
- Clinic/Center
- Ambulatory Surgical
- Accepts Insurance
- CLIA Number: 14D1013189
- CLIA Cert. Type: Ambulatory Surgery Center
- CLIA Exp. Date: 06-02-2027
About RENAL INTERVENTION CENTER, PLLC
This page provides the complete NPI Profile along with additional information for Renal Intervention Center, Pllc, a provider established in Morton, Illinois operating as a Clinic/center, focusing in ambulatory surgical . The healthcare provider is registered in the NPI registry with number 1639242506 assigned on November 2006. The practitioner's primary taxonomy code is 261QA1903X with license number 7002728 (IL). The provider is registered as an organization and their NPI record was last updated July 2025. Renal Intervention Center, Pllc operates as a multi-specialty business group with one or more individual providers who practice different areas of specialization. The authorized official of this NPI record is Dr. Samer B Sader Md (Medical Director)
- NPI
- 1639242506
- Provider Name
- RENAL INTERVENTION CENTER, PLLC
- Entity Type
- Organization
- Location Address
- 430 MAXINE DR MORTON, IL 61550
- Location Phone
- (309) 266-7600
- Location Fax
- (309) 266-7680
- Mailing Address
- 430 MAXINE DR MORTON, IL 61550
- Mailing Phone
- (309) 266-7600
- Mailing Fax
- (309) 266-7680
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 11-16-2006
- Last Update Date
- 07-23-2025
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Clinic/Center Ambulatory Surgical
- Taxonomy Code
- 261QA1903X
- Type
- Ambulatory Health Care Facilities
- License No.
- 7002728
- License State
- IL
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 207RN0300X | Allopathic & Osteopathic Physicians | Internal Medicine | |
| 2 | 2086S0129X | Allopathic & Osteopathic Physicians | Surgery |
Group Taxonomy 193200000X MULTI-SPECIALTY GROUP
This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Blue Choice Preferred Bronze PPO? 201 - PPO
- Blue Choice Preferred Bronze PPO? 701 - PPO
- Blue Choice Preferred Bronze PPO? Standard - Select Rx Copays - PPO
- Blue Choice Preferred Gold PPO? 204 - PPO
- Blue Choice Preferred Gold PPO? 901 - PPO
- Blue Choice Preferred Gold PPO? Standard - Rx Copays - PPO
- Blue Choice Preferred Security PPO? 200 - PPO
- Blue Choice Preferred Silver PPO? 203 - PPO
- Blue Choice Preferred Silver PPO? 801 - PPO
- Blue Choice Preferred Silver PPO? Standard - Select Rx Copays - PPO
- Blue Precision Bronze HMO? 205 - HMO
- Blue Precision Bronze HMO? 701 - HMO
- Blue Precision Bronze HMO? Standard - Select Rx Copays - HMO
- Blue Precision Gold HMO? 207 - HMO
- Blue Precision Gold HMO? 703 - HMO
- Blue Precision Gold HMO? Standard - Rx Copays - HMO
- Blue Precision Silver HMO? 206 - HMO
- Blue Precision Silver HMO? 704 - HMO
- Blue Precision Silver HMO? Standard - Select Rx Copays - HMO
- BlueCare Direct Bronze? Standard - Select Rx Copays with Advocate - HMO
- Gold 1 - HMO
- Gold 1 with Adult Vision Services - HMO
- Gold 8 with Rx Copay - HMO
- Silver 1 - HMO
- Silver 1 with Rx Copay and Adult Vision Services - HMO
- Silver 12 with first 4 free PCP or MH visits - HMO
- Silver 8 - HMO
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Areas of Expertise
The following services and procedures, recently provided to Medicare patients, illustrate the range of care this provider offers. This list reflects the variety of services available to all patients visiting the practice and is based on 2022 Medicare dataset. In general, the more frequently a provider treats specific conditions or performs particular procedures, the more experienced they become in addressing similar patient needs. The provider has delivered many of the services listed below to Medicare patients. Please note that this list does not include services provided to patients who are not covered by Medicare.
Complete ultrasound of artery and vein blood flow pre-op assessment on both sides of body for hemodialysis access
Creation of artery-vein connection using tube graft for hemodialysis
Insertion of abdominal tube using imaging guidance with review by radiologist
Insertion of needle and/or tube into hemodialysis circuit and balloon dilation of dialysis segment with review by radiologist
Insertion of needle and/or tube into hemodialysis circuit and insertion of stent in dialysis segment with review by radiologist
Insertion of needle and/or tube into hemodialysis circuit with review by radiologist
Insertion of tunneled central venous tube for infusion (5 years or older)
Relocation of arm vein with connection to arm artery for hemodialysis
Removal and/or dissolving of blood clot in hemodialysis circuit and balloon dilation of dialysis segment and placement of stent with review by radiologist
Removal and/or dissolving of blood clot in hemodialysis circuit and balloon dilation of dialysis segment with imaging review by radiologist, with balloon tube
Removal and/or dissolving of blood clot in hemodialysis circuit and balloon dilation of dialysis segment with review by radiologist
Removal of abdominal cavity tube
Removal of tunneled central venous tube
Replacement of tunneled central venous tube
Revision of hemodialysis graft
Tying or banding of surgically created artery-vein connection
This procedure involves using ultrasound technology to examine the blood flow in your arteries and veins on both sides of your body. It's crucial for preparing for hemodialysis access, ensuring safe and effective treatment.
This service was performed 30 times for 29 patientsThis procedure involves connecting an artery to a vein using a tube graft. It's typically done for hemodialysis, a treatment for kidney disease. The connection allows blood to flow from the artery into the graft, then into the vein, and back to your body.
This service was performed 20 times for 20 patientsThis procedure involves placing a tube in your abdomen under imaging guidance. A radiologist will review the images to ensure correct placement. The tube helps drain excess fluid or air, aiding in your recovery and comfort.
This service was performed 11 times for 11 patientsThis procedure involves inserting a needle or tube into your hemodialysis circuit, a system that cleans your blood when your kidneys can't. A balloon is then used to widen a narrow section of this circuit. A radiologist reviews the procedure to ensure accuracy.
This service was performed 138 times for 110 patientsThis procedure involves placing a needle or tube into your hemodialysis circuit, a system used to clean your blood when kidneys are not working properly. A stent, a small tube, is then inserted into the dialysis segment to keep it open. A radiologist reviews the process to ensure accuracy.
This service was performed 19 times for 19 patientsThis procedure involves inserting a needle or tube into your hemodialysis circuit, which is part of the system that cleans your blood when your kidneys can't. A radiologist, a doctor specialized in imaging techniques, will review the process to ensure everything is correct.
This service was performed 29 times for 29 patientsThe insertion of a tunneled central venous tube is a procedure where a thin, flexible tube is placed into a large vein, usually in the neck or chest. This tube allows healthcare providers to give medications, fluids, or nutrients directly into your bloodstream over a longer period.
This service was performed 27 times for 27 patientsThis procedure involves moving a vein in your arm and connecting it to an artery. This creates a larger, stronger vein that can be used for hemodialysis, a treatment for kidney disease. It helps clean your blood when your kidneys can't.
This service was performed 51 times for 51 patientsThis is a procedure to improve your dialysis treatment. If a blood clot blocks your dialysis circuit, it's removed or dissolved. If the dialysis segment is narrow, a balloon is used to widen it. Sometimes, a stent is placed to keep it open. A radiologist reviews all these steps to ensure accuracy.
This service was performed 30 times for 23 patientsThis procedure involves eliminating a blood clot in your hemodialysis circuit, ensuring smooth blood flow. A balloon tube is used to widen the dialysis segment if needed. Images are taken and reviewed by a radiologist to confirm successful completion.
This service was performed 64 times for 45 patientsThis procedure involves clearing a clot in your hemodialysis circuit, a pathway for cleaning your blood when kidneys can't. The clot is either removed or dissolved. In some cases, a balloon is used to widen a narrowed section. A radiologist reviews the procedure to ensure its success.
This service was performed 13 times for 11 patientsThe removal of an abdominal cavity tube is a medical procedure that involves taking out a tube previously placed in your abdomen. This tube may have been used to drain fluid, air, or pus from your abdominal area. The process is safe, typically quick, and done by a healthcare professional.
This service was performed 16 times for 16 patientsA tunneled central venous tube removal is a procedure to take out a long, thin tube that was previously placed in a large vein in your body. This tube helps deliver medication or nutrition. The removal is usually quick and done under local anesthesia.
This service was performed 69 times for 67 patientsA tunneled central venous tube replacement is a procedure where an existing tube, used to deliver medication or nutrition directly to a large vein, is replaced. This is done under local anesthesia and involves inserting a new tube through a small incision.
This service was performed 15 times for 14 patientsA revision of a hemodialysis graft is a procedure to fix issues with the graft used for dialysis. This can involve clearing blockages or improving blood flow. It helps ensure the graft continues to work effectively for your dialysis treatments.
This service was performed 12 times for 11 patientsThis procedure involves placing a band or tie around an artery-vein connection that was surgically created. The banding helps regulate blood flow, preventing complications like high blood pressure in the connection. It's a routine, safe procedure performed by healthcare professionals.
This service was performed 11 times for 11 patientsCLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 14D1013189
- Facility Type
- Ambulatory Surgery Center
- Certificate Effective Date
- June 03, 2025
- Certificate Expiration Date
- June 02, 2027
- Laboratory Director
- SAMER B. SADER
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Renal Intervention Center, Pllc to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 6 | 3 | 9 | 2 | 4 | 2 | 5 | 0 | 6 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 6 | 6 | 9 | 4 | 4 | 4 | 5 | 0 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 6 + 6 + 9 + 4 + 4 + 4 + 5 + 0 + 24 = 64 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 70 - 64 = 6 | 6 | ||||||||
The NPI number 1639242506 is valid because the calculated check digit 6 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 3 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1336608462 | SIGNATURE ANESTHESIA LLC Organization | Anesthesiology | 430 MAXINE DR MORTON, IL 61550 (309) 495-5420 |
| 1225792039 | SPECTRUM HEALTH INC Organization | Nurse Anesthetist, Certified Registered | 430 MAXINE DR MORTON, IL 61550 (309) 495-4520 |
| 1063128049 | PRINCIPLE ANESTHESIA PLLC Organization | Nurse Anesthetist, Certified Registered | 430 MAXINE DR MORTON, IL 61550 (309) 495-4520 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1639242506, enumerated in the NPI registry as an "organization" on November 16, 2006
The provider is located at 430 Maxine Dr Morton, Il 61550 and the phone number is (309) 266-7600
This medical organization specializes in Clinic/Center with taxonomy code 261QA1903X with a focus in Ambulatory Surgical
The provider might be accepting Accepts: Blue Cross and Blue Shield of Illinois and Molina. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
The most common procedures or services performed by this practitioner are: Complete ultrasound of artery and vein blood flow pre-op assessment on both sides of body for hemodialysis access, Creation of artery-vein connection using tube graft for hemodialysis, Insertion of abdominal tube using imaging guidance with review by radiologist, Insertion of needle and/or tube into hemodialysis circuit and balloon dilation of dialysis segment with review by radiologist, Insertion of needle and/or tube into hemodialysis circuit and insertion of stent in dialysis segment with review by radiologist, Insertion of needle and/or tube into hemodialysis circuit with review by radiologist, Insertion of tunneled central venous tube for infusion (5 years or older), Relocation of arm vein with connection to arm artery for hemodialysis, Removal and/or dissolving of blood clot in hemodialysis circuit and balloon dilation of dialysis segment and placement of stent with review by radiologist, Removal and/or dissolving of blood clot in hemodialysis circuit and balloon dilation of dialysis segment with imaging review by radiologist, with balloon tube, Removal and/or dissolving of blood clot in hemodialysis circuit and balloon dilation of dialysis segment with review by radiologist, Removal of abdominal cavity tube, Removal of tunneled central venous tube, Replacement of tunneled central venous tube, Revision of hemodialysis graft and Tying or banding of surgically created artery-vein connection.
The provider's CLIA number is 14D1013189 for a "ambulatory surgery center" facility with a CLIA Certificate of Waiver. This CLIA certificate is issued to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria..
This NPI record was last updated on November 16, 2006. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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