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KIDNEY CARE CENTER ROCKFORD LLC
NPI 1861816167
Internal Medicine - Nephrology in Rockford, IL

Active since February 07, 2014CLIA 14D2081580 · Waiver
6940 VILLAGREEN VIEW, ROCKFORD, IL 61107(779) 774-9272(779) 774-9273 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, Mar 16, 2018, Sep 27, 2016 (3 updates tracked since 2016).

About Kidney Care Center Rockford Llc NPPES

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

KIDNEY CARE CENTER ROCKFORD LLC (NPI 1861816167) is a healthcare organization registered as a nephrology in Rockford, Illinois and active in the NPI registry since February 2014. The organization holds a CLIA Waiver certificate valid through July 27, 2028 and lists Morufu Alausa, Medical Director/ceo, as its authorized official.

NPPES Registry Identity

NPI1861816167
Entity TypeOrganization
Primary Taxonomy207RN0300X
Legal Business NameKIDNEY CARE CENTER ROCKFORD LLC
Location Address6940 VILLAGREEN VIEWRockford, IL 61107-5605
Mailing AddressPo Box 3877Joliet, IL 60434-3877 · (815) 741-6830 · Fax (815) 435-5080
Phone(779) 774-9272
Fax(779) 774-9273
Organization SubpartNo
Authorized OfficialMorufu AlausaMedical Director/ceo · (815) 741-6830
Enumeration DateFebruary 7, 2014
Last NPPES UpdateSeptember 15, 20223 updates tracked since enumeration
NPPES CertifiedSeptember 15, 2022
✔ NPI 1861816167 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.
6940 VILLAGREEN VIEW, Rockford, IL 61107
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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, Quartz.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 Rockford Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

5

Medicare enrollment records show 5 clinicians reassign Medicare billing to Kidney Care Center Rockford LLC, which bills Medicare for the services they deliver. Of these, 3 practice at this address and 4 within 10 miles. They are listed nearest first.

Clinicians, nearest first (5)

Arooj Fatima, M.D
Nephrology
NPI 1720437338
6940 VILLAGREEN VW
Rockford, IL 61107
(779) 774-9272
✔ PECOS✔ Accepts MedicareSame address
Stephen Kemnele
Nephrology
NPI 1992180806
6940 VILLAGREEN VW
Rockford, IL 61107
(779) 774-9272
✔ PECOS✔ Accepts MedicareSame address
Krishna Manda, MD
Nephrology
NPI 1558593095
6940 VILLAGREEN VW
Rockford, IL 61107
(779) 774-9272
✔ PECOS✔ Accepts MedicareSame address
Molly Engelkes
Nurse Practitioner
NPI 1639542657
6940 VILLAGREEN VW
Rockford, IL 61107
(779) 774-9272
✔ PECOS✔ Accepts MedicareSame address
Muhammad Daniel Siddiqui, MD
Nephrology
NPI 1831685585
812 CAMPUS DR
Joliet, IL 60435
(815) 741-6830
✔ PECOS✔ Accepts Medicare68 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 14D2081580

Kidney Care Center Rockford LLC · Rockford, IL
Active · expires Jul 27, 2028
CLIA Number14D2081580
Laboratory TypePhysician Office
Certificate Effective DateJuly 28, 2026
Certificate Expiration DateJuly 27, 2028
Laboratory DirectorMorufu Alausa M D
Laboratory Phone(779) 774-9272
Laboratory LocationKidney Care Center Rockford LLC6940 Villagreen View, Rockford, IL 61107
CLIA data matches this NPI record on: Address 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 Rockford LLC's NPI number?

The NPI number for Kidney Care Center Rockford LLC is 1861816167. It was assigned to this organization in the NPPES registry on February 7, 2014.

Where is Kidney Care Center Rockford LLC located?

Kidney Care Center Rockford LLC is located at 6940 Villagreen View, Rockford, IL 61107. The listed phone number is (779) 774-9272.

What is Kidney Care Center Rockford LLC's specialty?

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

Is Kidney Care Center Rockford LLC enrolled in Medicare?

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

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

According to the CMS Revalidation Reassignment List (October 2026 release), 5 clinicians in 2 Medicare specialties reassign their Medicare billing to Kidney Care Center Rockford 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 (4) and Nurse Practitioner (1). Of these, 3 practice at this address and 4 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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

Yes. A Certificate of Waiver (number 14D2081580) is associated with this NPI, valid through July 27, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Kidney Care Center Rockford LLC accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Quartz list Kidney Care Center Rockford 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 Rockford 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.