KIDNEY CARE CENTER OLYMPIA FIELDS LLC
NPI 1619389715
Internal Medicine - Nephrology in Olympia Fields, IL

Active since May 22, 2014
3302 VOLLMER RD, OLYMPIA FIELDS, IL 60461(708) 898-0811 Get Directions Write a Review

NPPES record last updated: September 15, 2022. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Sep 15, 2022, May 12, 2020, Mar 16, 2018 (3 updates tracked since 2018).

About Kidney Care Center Olympia Fields Llc NPPES

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

KIDNEY CARE CENTER OLYMPIA FIELDS LLC (NPI 1619389715) is a healthcare organization registered as a nephrology in Olympia Fields, Illinois and active in the NPI registry since May 2014. The organization lists Morufu Alausa, Medical Director/ceo, as its authorized official.

NPPES Registry Identity

NPI1619389715
Entity TypeOrganization
Primary Taxonomy207RN0300X
Legal Business NameKIDNEY CARE CENTER OLYMPIA FIELDS LLC
Location Address3302 VOLLMER RDOlympia Fields, IL 60461-1179
Mailing AddressPo Box 3877Joliet, IL 60434-3877 · (815) 714-7171
Organization SubpartNo
Authorized OfficialMorufu AlausaMedical Director/ceo · (815) 741-6830
Enumeration DateMay 22, 2014
Last NPPES UpdateSeptember 15, 20223 updates tracked since enumeration
NPPES CertifiedSeptember 15, 2022
✔ NPI 1619389715 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.
3302 VOLLMER RD, Olympia Fields, IL 60461

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

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 Olympia Fields Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

11

Medicare enrollment records show 11 clinicians reassign Medicare billing to Kidney Care Center Olympia Fields LLC, which bills Medicare for the services they deliver. Of these, 9 practice at this address. They are listed nearest first.

Clinicians by Medicare Specialty 3

Nephrology7
Internal Medicine2
Nurse Practitioner2

Clinicians, nearest first (11)

Nephrology
NPI 1659750743
3302 VOLLMER RD
Olympia Fields, IL 60461
(708) 898-0811
✔ PECOS✔ Accepts MedicareSame address
Nephrology
NPI 1487150306
3302 VOLLMER RD
Olympia Fields, IL 60461
(708) 898-0811
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1689061855
3302 VOLLMER RD
Olympia Fields, IL 60461
(708) 898-0811
✔ PECOS✔ Accepts MedicareSame address
Nephrology
NPI 1801321807
3302 VOLLMER RD
Olympia Fields, IL 60461
(708) 898-0811
✔ PECOSSame address
Nephrology
NPI 1265685242
3302 VOLLMER RD
Olympia Fields, IL 60461
(708) 898-0811
✔ PECOS✔ Accepts MedicareSame address
Nephrology
NPI 1235442443
3302 VOLLMER RD
Olympia Fields, IL 60461
(708) 898-0811
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1891461109
3302 VOLLMER RD
Olympia Fields, IL 60461
(708) 898-0811
✔ PECOSSame address
Nephrology
NPI 1164787792
3302 VOLLMER RD
Olympia Fields, IL 60461
(708) 898-0811
✔ PECOS✔ Accepts MedicareSame address
Nephrology
NPI 1013208412
3302 VOLLMER RD
Olympia Fields, IL 60461
(708) 898-0811
✔ PECOS✔ Accepts MedicareSame address
Internal Medicine
NPI 1356396378
757 E 81ST AVE
Merrillville, IN 46410
(219) 472-0379
✔ PECOS✔ Accepts Medicare19 mi
Internal Medicine
NPI 1740628726
757 E 81ST AVE
Merrillville, IN 46410
(219) 472-0379
✔ PECOS✔ Accepts Medicare19 mi

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

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 Olympia Fields LLC's NPI number?

The NPI number for Kidney Care Center Olympia Fields LLC is 1619389715. It was assigned to this organization in the NPPES registry on May 22, 2014.

Where is Kidney Care Center Olympia Fields LLC located?

Kidney Care Center Olympia Fields LLC is located at 3302 Vollmer Rd, Olympia Fields, IL 60461. The listed phone number is (708) 898-0811.

What is Kidney Care Center Olympia Fields LLC's specialty?

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

Is Kidney Care Center Olympia Fields LLC enrolled in Medicare?

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

How many clinicians bill Medicare through Kidney Care Center Olympia Fields LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 11 clinicians in 3 Medicare specialties reassign their Medicare billing to Kidney Care Center Olympia Fields 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 (7), Internal Medicine (2) and Nurse Practitioner (2). Of these, 9 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Kidney Care Center Olympia Fields LLC accept?

Health plans from Ambetter Health and Ambetter Health of Delaware list Kidney Care Center Olympia Fields 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 Olympia Fields 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.