Kidney Care Center South LLC

Primary specialty

Nephrology PhysicianTaxonomy code 207RN0300X

Legal business name

KIDNEY CARE CENTER SOUTH LLC

Practice address

4457 Southwest Highway
Suite 201
Oak Lawn, IL 60453

Phone

(708) 598-2448

Fax

(708) 827-5419

NPI assigned

Mar 5, 2013

Organization subpart

No

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

Authorized official

Name

Dr. Morufu Alausa, M.D.NPI 1730135955

Title

Medical Director

Phone

(815) 741-6830

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

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

CLIA laboratory certificates

Tax ID family

Kidney Care Center South2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Kidney Care Center South

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Palos Hills, IL
  • NPI 1144697020
  NPD tax ID

Locations

Practitioners 9

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

• Hani Alsharif, MD

  • Nephrology Physician
  • Oak Lawn, IL
  • NPI 1598974149
  Medicare reassignment Care Compare group NPD
• Chateka Grew, FNP

  • Family Nurse Practitioner
  • Oak Lawn, IL
  • NPI 1699576090
  Medicare reassignment Care Compare group NPD
• Sonja Marcic, MD

  • Nephrology Physician
  • Oak Lawn, IL
  • NPI 1700823192
  Medicare reassignment Care Compare group NPD
• Osezua Olear

  • Nephrology Physician
  • Oak Lawn, IL
  • NPI 1346650249
  Medicare reassignment Care Compare group NPD
• Muhammad Omer, M.D.

  • Nephrology Physician
  • Oak Lawn, IL
  • NPI 1154529105
  Medicare reassignment Care Compare group NPD
• Sushant Ramdas Taksande, MD

  • Nephrology Physician
  • Oak Lawn, IL
  • NPI 1336375096
  Medicare reassignment Care Compare group NPD
• Brittany C Hampton, APN

  • Nurse Practitioner
  • Oak Lawn, IL
  • NPI 1659809705
  Medicare reassignment NPD
• Morufu Olatunji Alausa, M.D

  • Nephrology Physician
  • Joliet, IL
  • NPI 1730135955
  NPD (past) Authorized official
• Georgeous Morcos, MD

  • Nephrology Physician
  • Oak Lawn, IL
  • NPI 1306787338
  NPD

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

{
    "created_epoch": "1362441600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1708646400000",
    "number": "1427399211",
    "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": "815-741-6830",
            "fax_number": "815-741-6832"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4457 SOUTHWEST HIGHWAY",
            "address_2": "SUITE 201",
            "city": "OAK LAWN",
            "state": "IL",
            "postal_code": "60453",
            "telephone_number": "708-598-2448",
            "fax_number": "708-827-5419"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10508 S Roberts Rd",
            "address_purpose": "LOCATION",
            "city": "Palos Hills",
            "state": "IL",
            "postal_code": "604651934",
            "country_code": "US",
            "telephone_number": "708-598-2448",
            "fax_number": "708-827-5419",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4400 W 95th St Ste 201",
            "address_purpose": "LOCATION",
            "city": "Oak Lawn",
            "state": "IL",
            "postal_code": "604532657",
            "country_code": "US",
            "telephone_number": "708-598-2448",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "KIDNEY CARE CENTER SOUTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-03-05",
        "last_updated": "2024-02-23",
        "certification_date": "2024-02-21",
        "status": "A",
        "authorized_official_last_name": "ALAUSA",
        "authorized_official_first_name": "MORUFU",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "815-741-6830",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Nephrology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ahmad Khattab, MD
• Nacer Khenouche, CPO
• Zahra Khudeira, PHARMD
• Sameen Khurshid
• Kidanu Birhanu MD SC
• Anna L Kiernicki Sklar, MD
• Nicoletta A Kijak
• Brian Kilbane
• Eilis Sioban Kilbride, MD
• Caitlin Kilkus, PHARM.D.

• Nephrology Physician in Oak Lawn, IL
• Providers in Oak Lawn, IL by specialty
• Nephrology Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2024; 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.