KIDNEY CARE CENTER SOUTHERN MARYLAND LLC
NPI 1568823649
Internal Medicine - Nephrology in Leonardtown, MD

Active since March 16, 2016
23503 HOLLYWOOD ROAD, SUITE 104, LEONARDTOWN, MD 20650(240) 309-4172(240) 309-4195 Get Directions Write a Review

NPPES record last updated: June 1, 2017. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jun 1, 2017, Oct 11, 2016, Mar 16, 2016 (3 updates tracked since 2016).

About Kidney Care Center Southern Maryland Llc NPPES

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

KIDNEY CARE CENTER SOUTHERN MARYLAND LLC (NPI 1568823649) is a healthcare organization registered as a nephrology in Leonardtown, Maryland and active in the NPI registry since March 2016. The organization lists Morufu Alausa, Medical Director, as its authorized official.

NPPES Registry Identity

NPI1568823649
Entity TypeOrganization
Primary Taxonomy207RN0300X
Legal Business NameKIDNEY CARE CENTER SOUTHERN MARYLAND LLC
Location Address23503 HOLLYWOOD ROAD, SUITE 104Leonardtown, MD 20650-3795
Mailing AddressPo Box 3877Joliet, IL 60434-3877 · (815) 741-6830 · Fax (815) 741-6832
Fax(240) 309-4195
Organization SubpartNo
Authorized OfficialMorufu AlausaMedical Director · (815) 741-6830
Enumeration DateMarch 16, 2016
Last NPPES UpdateJune 1, 20173 updates tracked since enumeration
NPI 1568823649 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.
23503 HOLLYWOOD ROAD, Leonardtown, MD 20650

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

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Pediatrics
23503 HOLLYWOOD ROAD, SUITE 104
LEONARDTOWN, MD 20650

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 Southern Maryland LLC's NPI number?

The NPI number for Kidney Care Center Southern Maryland LLC is 1568823649. It was assigned to this organization in the NPPES registry on March 16, 2016.

Where is Kidney Care Center Southern Maryland LLC located?

Kidney Care Center Southern Maryland LLC is located at 23503 Hollywood Road Suite 104, Leonardtown, MD 20650. The listed phone number is (240) 309-4172.

What is Kidney Care Center Southern Maryland LLC's specialty?

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

When was this NPI record last updated?

The NPPES record for Kidney Care Center Southern Maryland LLC was last updated on June 1, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.