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KIDNEY CARE CENTER ELGIN LLC
NPI 1508126764
Internal Medicine - Nephrology in Crystal Lake, IL

Active since May 22, 2012CLIA 14D2069056 · Waiver
442 N IL ROUTE 31, CRYSTAL LAKE, IL 60012(224) 238-3211(224) 535-8215 Get Directions Write a Review

NPPES record last updated: September 15, 2022. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Sep 15, 2022, Oct 5, 2018, Mar 17, 2018 (3 updates tracked since 2018).

About Kidney Care Center Elgin Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KIDNEY CARE CENTER ELGIN LLC (NPI 1508126764) is a healthcare organization registered as a nephrology in Crystal Lake, Illinois and active in the NPI registry since May 2012. The organization holds a CLIA Waiver certificate valid through November 17, 2027, maintains a secondary practice location in Elgin, and lists Morufu Alausa, Medical Director, as its authorized official.

NPPES Registry Identity

NPI1508126764
Entity TypeOrganization
Primary Taxonomy207RN0300X
Legal Business NameKIDNEY CARE CENTER ELGIN LLC
Location Address442 N IL ROUTE 31Crystal Lake, IL 60012-3709
Mailing AddressPo Box 3877Joliet, IL 60434-3877 · (815) 741-6830 · Fax (815) 741-6832
Phone(224) 238-3211
Fax(224) 535-8215
Organization SubpartNo
Authorized OfficialMorufu AlausaMedical Director · (815) 741-6830
Enumeration DateMay 22, 2012
Last NPPES UpdateSeptember 15, 20223 updates tracked since enumeration
NPPES CertifiedSeptember 15, 2022
✔ NPI 1508126764 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · NephrologyAllopathic & Osteopathic Physicians
Taxonomy Code207RN0300X
Definition
An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.
442 N IL ROUTE 31, Crystal Lake, IL 60012
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Secondary Practice Location 1

Location 11670 Capital St Unit 900Elgin, IL 60124-7837 · Phone (224) 238-3211

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter Health of Delaware, MercyCare Health Plans.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kidney Care Center Elgin Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

9

Medicare enrollment records show 9 clinicians reassign Medicare billing to Kidney Care Center Elgin LLC, which bills Medicare for the services they deliver. Of these, 4 practice at this address and 6 within 10 miles. They are listed nearest first.

Clinicians, nearest first (9)

Farhan Bangash, DO
Nephrology
NPI 1750549473
442 N IL ROUTE 31
Crystal Lake, IL 60012
(224) 238-3211
✔ PECOS✔ Accepts MedicareSame address
Venkata Buddharaju, M.D
Nephrology
NPI 1508145327
442 N IL ROUTE 31 APARTMENT
Crystal Lake, IL 60012
(224) 238-3211
✔ PECOS✔ Accepts MedicareSame address
Ruchi Sood, MD
Nephrology
NPI 1700191343
442 N IL ROUTE 31
Crystal Lake, IL 60012
(224) 238-3211
✔ PECOS✔ Accepts MedicareSame address
Tisha Tan, M.D.
Nephrology
NPI 1881959872
442 N IL ROUTE 31
Crystal Lake, IL 60012
(224) 238-3211
✔ PECOS✔ Accepts MedicareSame address
Jennifer Lawrence, C.N.P.
Nurse Practitioner
NPI 1073066437
442 N IL ROUTE 31
Crystal Lake, IL 60012
(224) 238-3211
✔ PECOS✔ Accepts Medicare0.5 mi
Arelis Quintana, APRN
Nurse Practitioner
NPI 1548093248
442 N IL ROUTE 31
Crystal Lake, IL 60012
(224) 238-3211
✔ PECOS✔ Accepts Medicare0.5 mi
Parin Desai, M.D.
Nephrology
NPI 1497913511
1670 CAPITAL ST STE 900
Elgin, IL 60124
(224) 214-1943
✔ PECOS✔ Accepts Medicare12 mi
Muhammad Farooq
Nephrology
NPI 1851656706
1701 LACEY ST
Cape Girardeau, MO 63701
(573) 331-6676
✔ PECOS✔ Accepts Medicare347 mi
Shannon Malone, FNP-BC
Nurse Practitioner
NPI 1033826060
2725 CAPITOL AVE DEPT 300
Sacramento, CA 95816
(916) 262-9370
✔ PECOS✔ Accepts Medicare1,757 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 14D2069056

Kidney Care Center Elgin L L C · Elgin, IL
Active · expires Nov 17, 2027
CLIA Number14D2069056
Laboratory TypePhysician Office
Certificate Effective DateNovember 18, 2025
Certificate Expiration DateNovember 17, 2027
Laboratory DirectorMorufu Alausa
Laboratory Phone(224) 238-3211
Laboratory LocationKidney Care Center Elgin L L C1750 N Randall Rd, Elgin, IL 60123
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kidney Care Center Elgin LLC's NPI number?

The NPI number for Kidney Care Center Elgin LLC is 1508126764. It was assigned to this organization in the NPPES registry on May 22, 2012.

Where is Kidney Care Center Elgin LLC located?

Kidney Care Center Elgin LLC is located at 442 N Il Route 31, Crystal Lake, IL 60012. The listed phone number is (224) 238-3211.

What is Kidney Care Center Elgin LLC's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Nephrology, with taxonomy code 207RN0300X.

Is Kidney Care Center Elgin LLC enrolled in Medicare?

Yes. Kidney Care Center Elgin LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Kidney Care Center Elgin LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 9 clinicians in 2 Medicare specialties reassign their Medicare billing to Kidney Care Center Elgin LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Nephrology (6) and Nurse Practitioner (3). Of these, 4 practice at this address and 6 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Kidney Care Center Elgin LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 14D2069056) is associated with this NPI, valid through November 17, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Kidney Care Center Elgin LLC accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and MercyCare Health Plans list Kidney Care Center Elgin LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Kidney Care Center Elgin LLC was last updated on September 15, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.