Great Lakes Dialysis West LLC

Primary specialty

End-Stage Renal Disease (ESRD) Treatment Clinic/CenterTaxonomy code 261QE0700X

Legal business name

GREAT LAKES DIALYSIS WEST LLC

Doing business as

Dialysis Care Center Great Lakes West

Practice address

27150 W 8 Mile Rd
Southfield, MI 48033-3590

Phone

(248) 914-0121

NPI assigned

Dec 15, 2013

Last updated

Apr 7, 2025By 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

Morufu Olatunji Alausa, MDNPI 1730135955

Title

Authorized Official / Cmo

Phone

(815) 741-6830

Specialties & licenses 1

Addresses

Other names 1

• Dialysis Care Center Great Lakes West Doing business as

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Listed as

Dialysis Care Center Great Lakes WestCCN 232695

Overall star rating

1.0 of 5

Ownership

Profit

Certified

Sep 10, 2014

Medicare certification status

ActiveFrom the Provider of Services file

Dialysis stations

18

Locations

Practitioners 3

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.

• Morufu Olatunji Alausa, M.D

  • Nephrology Physician
  • Joliet, IL
  • NPI 1730135955
  Authorized official Same address or phone
• Boniface Atakekor Tubie, M.D.

  • Nephrology Physician
  • Southfield, MI
  • NPI 1821144577
  NPD
• Sharon Blackshire-Tubie, FNP-BC

  • Primary Care Nurse Practitioner
  • Southfield, MI
  • NPI 1245764737
  NPD (past)

Affiliated clinicians 2

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

• Tadesse Beyene, MD

  • Nephrology Physician
  • Livonia, MI
  • NPI 1821239302

  Dialysis facility

  Care Compare affiliation Name & address match
• Boniface Atakekor Tubie, M.D.

  • Nephrology Physician
  • Southfield, MI
  • NPI 1821144577

  Dialysis facility

  Care Compare affiliation Name & address match

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

{
    "created_epoch": "1387065600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1743984000000",
    "number": "1760803951",
    "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": "27150 W 8 MILE RD",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480333590",
            "telephone_number": "248-914-0121"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREAT LAKES DIALYSIS WEST LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-12-15",
        "last_updated": "2025-04-07",
        "certification_date": "2025-04-07",
        "status": "A",
        "authorized_official_last_name": "ALAUSA",
        "authorized_official_first_name": "MORUFU",
        "authorized_official_middle_name": "OLATUNJI",
        "authorized_official_title_or_position": "AUTHORIZED OFFICIAL / CMO",
        "authorized_official_telephone_number": "815-741-6830",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QE0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, End-Stage Renal Disease (ESRD) Treatment",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dialysis Care Center Great Lakes West",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Southfield, MI
• Providers in Southfield, MI by specialty
• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2025; 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.