Organization Active NPI

Dialysis Care Center Rockford LLC

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Rockford, IL
National Provider Identifier
1003498965
Registry record updated May 5, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
End-Stage Renal Disease (ESRD) Treatment Clinic/CenterTaxonomy code 261QE0700X
Legal business name
DIALYSIS CARE CENTER ROCKFORD LLC
Practice address
1007 W Riverside Blvd Ste a
Rockford, IL 61103-2158
Phone
(779) 256-4040
Fax
(779) 256-4086
NPI assigned
Apr 21, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 5, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Morufu Olatunji Alausa, M.D.NPI 1730135955
Title
Medical Director
Phone
(815) 741-6830

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
End-Stage Renal Disease (ESRD) Treatment Clinic/Center 261QE0700X Primary

Addresses

Primary practice location

1007 W Riverside Blvd Ste a
Rockford, IL 61103-2158

Mailing address

PO Box 428
Lockport, IL 60441-6428
Phone (815) 714-7170

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210512001287 IL Part A Provider - End-Stage Renal Disease Facility (ESRD) 1557770161 Practice locations: Rockford, IL

Care Compare: Dialysis facility

Medicare Care Compare
Listed as
Dialysis Care Center Rockford LLCCCN 142875
Overall star rating
1.0 of 5
Ownership
Profit
Certified
Jul 19, 2021
Medicare certification status
ActiveFrom the Provider of Services file
Dialysis stations
12

Name & address match This facility record has no NPI; it was connected to this NPI by matching name and address.

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
14D2195603Dialysis Care Center Rockford1007 W Riverside Blvd, Rockford, IL 61103Certificate of waiverOct 8, 2026

National Provider Directory

National Provider Directory

Locations

1007 W Riverside Blvd
Ste A
Rockford, IL 61103
Phone (779) 256-4040

Networks

  • IL HMO C-SNP

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

Affiliated clinicians 2

Clinicians who list this facility as an affiliation in Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1618963200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1777939200000",
    "number": "1003498965",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 428",
            "city": "LOCKPORT",
            "state": "IL",
            "postal_code": "604416428",
            "telephone_number": "815-714-7170",
            "fax_number": "630-672-4980"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1007 W RIVERSIDE BLVD STE A",
            "city": "ROCKFORD",
            "state": "IL",
            "postal_code": "611032158",
            "telephone_number": "779-256-4040",
            "fax_number": "779-256-4086"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIALYSIS CARE CENTER ROCKFORD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-04-21",
        "last_updated": "2026-05-05",
        "certification_date": "2026-05-05",
        "status": "A",
        "authorized_official_last_name": "ALAUSA",
        "authorized_official_first_name": "MORUFU",
        "authorized_official_middle_name": "OLATUNJI",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "815-741-6830",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QE0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, End-Stage Renal Disease (ESRD) Treatment",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rockford, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.