Organization Active NPI

Advanced Kidney Care of North Texas, P.L.L.C.

  • Nephrology Physician
  • Garland, TX
National Provider Identifier
1003042177
Registry record updated Oct 28, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
L3581 Issued in TX
Legal business name
ADVANCED KIDNEY CARE OF NORTH TEXAS, P.L.L.C.
Practice address
7150 N President George Bush Hwy Ste 205
Garland, TX 75044-2210
Phone
(972) 276-0139
Fax
(972) 276-0149
NPI assigned
Jun 3, 2009
Last updated
Oct 28, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 28, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Scott A Biedermann, MDNPI 1326007451
Title
Physician/Owner
Phone
(469) 467-0011

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X L3581 TX Primary

Addresses

Primary practice location

7150 N President George Bush Hwy Ste 205
Garland, TX 75044-2210

Mailing address

4708 Alliance Blvd
Suite 600
Plano, TX 75093-5368
Phone (469) 467-0011

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100109000433 TX Part B Supplier - Clinic/Group Practice 6002957271 Receives reassigned benefits from 11 practitioners
1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Plano, TX; Prosper, TX; Richardson, TX; Rockwal, TX; Rowlett, TX; Wylie, TX; Garland, TX; Allen, TX…

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
45D1107838Advanced Kidney Care of North TX,PLLC7150 N President George Bush Hwy Suite 205, Garland, TX 75044Certificate of waiverNov 12, 2027

National Provider Directory

National Provider Directory
Tax ID family
Advanced Kidney Care of North Texas2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

201 S Jupiter Rd
Allen, TX 75002
Phone (469) 342-6709

10150 Legacy Dr
Ste 8100
Frisco, TX 75033
Phone (469) 365-0766

530 Clara Barton Blvd
Ste 105
Garland, TX 75042
Phone (214) 703-0564

1831 Harroun Ave
McKinney, TX 75069
Phone (972) 548-1511

5236 W University Dr
Ste 4200
McKinney, TX 75071
Phone (214) 544-9590

481 Shiloh Rd
Plano, TX 75074
Phone (972) 881-3270

241 N Preston Rd
Ste A
Prosper, TX 75078
Phone (972) 347-9268

3321 E Renner Rd
Ste 110
Richardson, TX 75082
Phone (972) 479-9401

3801 Lakeview Pkwy
Rowlett, TX 75088
Phone (214) 703-6951

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/2940/brand/1/csg/1/fhir/r4

Practitioners & affiliated clinicians

Practitioners 11

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1243987200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1730073600000",
    "number": "1003042177",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4708 ALLIANCE BLVD",
            "address_2": "SUITE 600",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750935368",
            "telephone_number": "469-467-0011",
            "fax_number": "469-467-4923"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7150 N PRESIDENT GEORGE BUSH HWY STE 205",
            "city": "GARLAND",
            "state": "TX",
            "postal_code": "750442210",
            "telephone_number": "972-276-0139",
            "fax_number": "972-276-0149"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED KIDNEY CARE OF NORTH TEXAS, P.L.L.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-06-03",
        "last_updated": "2024-10-28",
        "certification_date": "2024-10-28",
        "status": "A",
        "authorized_official_last_name": "BIEDERMANN",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PHYSICIAN/OWNER",
        "authorized_official_telephone_number": "469-467-0011",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "TX",
            "license": "L3581",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Garland, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.