Organization Active NPI

Associates in Kidney Diseases Hypertension and Intensive Care Medicine

  • Nephrology Physician
  • Camp Hill, PA
National Provider Identifier
1275784498
Registry record updated Apr 5, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
Legal business name
ASSOCIATES IN KIDNEY DISEASES HYPERTENSION AND INTENSIVE CARE MEDICINE
Practice address
205 Grandview Ave Ste 301
Camp Hill, PA 17011-1704
Phone
(717) 695-0394
NPI assigned
Oct 7, 2008
Last updated
Apr 5, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 5, 2022

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

Authorized official

Name
Morufu Olatunji AlausaNPI 1730135955
Title
Chief Medical Director
Phone
(815) 741-6830

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X MD431419 PA
Nephrology Physician 207RN0300X NU Primary

Addresses

Primary practice location

205 Grandview Ave Ste 301
Camp Hill, PA 17011-1704

Mailing address

PO Box 3877
Joliet, IL 60434-3877
Phone (815) 714-7171

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090123000036 PA Part B Supplier - Clinic/Group Practice 8921162769 Receives reassigned benefits from 3 practitioners
Practice locations: Camp Hill, PA

National Provider Directory

National Provider Directory

Locations

205 Grandview Ave
Ste 301
Camp Hill, PA 17011
Phone (717) 695-0394

890 Poplar Church Rd
Ste 204B
Camp Hill, PA 17011
Phone (717) 516-1070

100 N Hanover St
Carlisle, PA 17013
Phone (717) 218-6670

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1223337600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1649116800000",
    "number": "1275784498",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3877",
            "city": "JOLIET",
            "state": "IL",
            "postal_code": "604343877",
            "telephone_number": "815-714-7171"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "205 GRANDVIEW AVE STE 301",
            "city": "CAMP HILL",
            "state": "PA",
            "postal_code": "170111704",
            "telephone_number": "717-695-0394"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ASSOCIATES IN KIDNEY DISEASES HYPERTENSION AND INTENSIVE CARE MEDICINE",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-10-07",
        "last_updated": "2022-04-05",
        "certification_date": "2022-04-05",
        "status": "A",
        "authorized_official_last_name": "ALAUSA",
        "authorized_official_first_name": "MORUFU",
        "authorized_official_middle_name": "OLATUNJI",
        "authorized_official_title_or_position": "CHIEF MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "815-741-6830"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "PA",
            "license": "MD431419",
            "primary": false
        },
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Camp Hill, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.