Kidney Care Center Olympia Fields LLC

Primary specialty

Nephrology PhysicianTaxonomy code 207RN0300X

Legal business name

KIDNEY CARE CENTER OLYMPIA FIELDS LLC

Practice address

3302 Vollmer Rd
Olympia Fields, IL 60461-1179

Phone

(708) 898-0811

NPI assigned

May 22, 2014

Last updated

Sep 15, 2022By the provider in NPPES

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/Ceo

Phone

(815) 741-6830

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IL, IN2 enrollments

Enrollment records 2

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

CLIA laboratory certificates

Locations

Practitioners 19

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.

• Chidinma Nnenna Ekenna, M.D.

  • Nephrology Physician
  • Olympia Fields, IL
  • NPI 1659750743
  Medicare reassignment Care Compare group NPD
• Khalid Gamal Hamed Mohammed Elharrif, MD

  • Nephrology Physician
  • Olympia Fields, IL
  • NPI 1487150306

  IN

  Medicare reassignment Care Compare group NPD
• Albara Said, M.D.

  • Nephrology Physician
  • Olympia Fields, IL
  • NPI 1013208412

  IN

  Medicare reassignment Care Compare group NPD
• Suresh Nelson Samson, M.D

  • Nephrology Physician
  • Olympia Fields, IL
  • NPI 1265685242
  Medicare reassignment Care Compare group NPD
• Tauseef Sarguroh, MD

  • Nephrology Physician
  • Olympia Fields, IL
  • NPI 1235442443

  IN

  Medicare reassignment Care Compare group NPD
• Alaine Gorospe Tenedor, NP

  • Nurse Practitioner
  • Olympia Fields, IL
  • NPI 1891461109

  Multi-Specialty

  Medicare reassignment Care Compare group NPD
• Syed Affan Ul Haq Hashmi, MD

  • Nephrology Physician
  • Olympia Fields, IL
  • NPI 1164787792
  Medicare reassignment Care Compare group
• Aundrea Gooden

  • Nurse Practitioner
  • Olympia Fields, IL
  • NPI 1689061855
  Medicare reassignment NPD
• Branislav M Marcic, MD

  • Nephrology Physician
  • Merrillville, IN
  • NPI 1356396378

  IL

  Medicare reassignment NPD
• Vikash Kumar Sinha, MD

  • Nephrology Physician
  • Merrillville, IN
  • NPI 1740628726

  IL

  Medicare reassignment NPD
• Ritika Paul, M.D.

  • Nephrology Physician
  • Olympia Fields, IL
  • NPI 1801321807
  Medicare reassignment
• Morufu Olatunji Alausa, M.D

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

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

{
    "created_epoch": "1400716800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1663200000000",
    "number": "1619389715",
    "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": "3302 VOLLMER RD",
            "city": "OLYMPIA FIELDS",
            "state": "IL",
            "postal_code": "604611179",
            "telephone_number": "708-898-0811"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KIDNEY CARE CENTER OLYMPIA FIELDS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-05-22",
        "last_updated": "2022-09-15",
        "certification_date": "2022-09-15",
        "status": "A",
        "authorized_official_last_name": "ALAUSA",
        "authorized_official_first_name": "MORUFU",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR/CEO",
        "authorized_official_telephone_number": "815-741-6830",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mohammed Yousuf Khan
• Omair Khan
• Saifullah Khan, MBBS
• Khawaja Medical Associates LTD
• Wasim Khawaja, M.D.
• Hassan Kieso
• Melissa Mae Kilianek
• Maryellen Kilkenny, CRNA
• Caroline Kim, DO
• Christine Young Kim, D.O.

• Nephrology Physician in Olympia Fields, IL
• Providers in Olympia Fields, IL by specialty
• Nephrology Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2022; 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.