Kidney Care Center Olympia Fields LLC
NPI 1619389715ActiveOrganization· Internal Medicine, Nephrology· Olympia Fields, IL
Internal Medicine, Nephrology in Olympia Fields, Illinois, registered in NPPES in May 2014. The authorized official on file is Morufu Alausa, M.D., Medical Director/Ceo. Enrolled in Medicare as part b supplier - clinic/group practice and part b supplier - clinic/group practice.
Overview
| NPI | 1619389715 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | May 22, 2014 |
| Last updated in NPPES | Sep 15, 2022 |
| Certified by provider | Sep 15, 2022 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Internal Medicine, Nephrology Primary | 207RN0300X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (IL); Part B Supplier - Clinic/Group Practice (IN) |
|---|
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