Active NPI
Kidney Care Center Rockford LLC
- Nephrology Physician
- Rockford, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nephrology Physician
- Legal business name
- KIDNEY CARE CENTER ROCKFORD LLC
- Practice address
- 6940 Villagreen View
Rockford, IL 61107-5605 - Phone
- (779) 774-9272
- Fax
- (779) 774-9273
- NPI assigned
- Feb 7, 2014
- Last updated
- Sep 15, 2022
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Morufu Alausa, M.D.
- Title
- Medical Director/Ceo
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Nephrology Physician | 207RN0300X | Primary |
Addresses
Primary practice location
6940 Villagreen View
Rockford, IL 61107-5605
Mailing address
PO Box 3877
Joliet, IL 60434-3877
Phone (815) 741-6830
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
Enrollment records 1
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 14D2081580 | Kidney Care Center Rockford LLC | Certificate of waiver | Jul 27, 2028 |
National Provider Directory
National Provider DirectoryLocations
2184 N State St
Belvidere, IL 61008
Phone (779) 774-9272
6940 Villagreen Vw
Rockford, IL 61107
Phone (779) 774-9272
Practitioners & affiliated clinicians
Practitioners 6
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.
-
- Gerontology Nurse Practitioner
- Rockford, IL
- NPI 1639542657
-
- Nephrology Physician
- Rockford, IL
- NPI 1720437338
-
- Nephrology Physician
- Rockford, IL
- NPI 1558593095
-
- Nephrology Physician
- Joliet, IL
- NPI 1831685585
-
- Nephrology Physician
- Rockford, IL
- NPI 1992180806
-
- Nephrology Physician
- Joliet, IL
- NPI 1730135955
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1391731200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1663200000000",
"number": "1861816167",
"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": "815-435-5080"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6940 VILLAGREEN VIEW",
"city": "ROCKFORD",
"state": "IL",
"postal_code": "611075605",
"telephone_number": "779-774-9272",
"fax_number": "779-774-9273"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "KIDNEY CARE CENTER ROCKFORD LLC",
"organizational_subpart": "NO",
"enumeration_date": "2014-02-07",
"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": 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 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.