Active NPI
Kidney Care Center Bloomington LLC
- Nephrology Physician
- Peoria, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nephrology Physician
- Legal business name
- KIDNEY CARE CENTER BLOOMINGTON LLC
- Practice address
- 719 Main St
Peoria, IL 61602-1083 - Phone
- (309) 839-8364
- Fax
- (309) 713-1257
- NPI assigned
- Jun 24, 2014
- Last updated
- Mar 17, 2018
- 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 with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nephrology Physician | 207RN0300X | Primary |
Addresses
Primary practice location
719 Main St
Peoria, IL 61602-1083
Mailing address
PO Box 3877
Joliet, IL 60434-3877
Phone (815) 741-6830
Other practice location 1
3901 General Electric Rd Ste 1
Bloomington, IL 61704-4195
Phone (309) 808-1226
National Provider Directory
National Provider DirectoryLocations
1021 Court St
Pekin, IL 61554
Phone (217) 366-2670
719 Main St
Ste B
Peoria, IL 61602
Phone (309) 839-8364
Practitioners & affiliated clinicians
Practitioners 1
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.
-
- Nephrology Physician
- Joliet, IL
- NPI 1730135955
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1403568000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1521244800000",
"number": "1932514387",
"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": "719 MAIN ST",
"city": "PEORIA",
"state": "IL",
"postal_code": "616021083",
"telephone_number": "309-839-8364",
"fax_number": "309-713-1257"
}
],
"practiceLocations": [
{
"address_1": "3901 General Electric Rd Ste 1",
"address_purpose": "LOCATION",
"city": "Bloomington",
"state": "IL",
"postal_code": "617044195",
"country_code": "US",
"telephone_number": "309-808-1226",
"fax_number": "309-808-4352",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "KIDNEY CARE CENTER BLOOMINGTON LLC",
"organizational_subpart": "NO",
"enumeration_date": "2014-06-24",
"last_updated": "2018-03-17",
"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 Peoria, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.