Organization Active NPI

Kidney Center of North Houston

  • Nephrology Physician
  • Tomball, TX
National Provider Identifier
1003958323
Registry record updated Nov 27, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
K8009 Issued in TX
Legal business name
KIDNEY CENTER OF NORTH HOUSTON
Practice address
27721 Tomball Pkwy
Suite 300
Tomball, TX 77375-6411
Phone
(281) 357-1300
Fax
(281) 357-1309
NPI assigned
Feb 13, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 27, 2012

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

Authorized official

Name
Dr. Shujauddin BhuriwalaNPI 1689636565
Title
Medical Doctor
Phone
(281) 357-1300

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 PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RN0300X K8009 TX Primary

Addresses

Primary practice location

27721 Tomball Pkwy
Suite 300
Tomball, TX 77375-6411

Mailing address

27721 Tomball Pkwy
Suite 300
Tomball, TX 77375-6411
Phone (281) 357-1300

Other identifiers 2

IdentifierTypeStateIssuer
142418601MedicaidTX
8A6910OtherTXBLUE CROSS BLUE SHIELD

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110815000074 TX Part B Supplier - Clinic/Group Practice 6103095856 Receives reassigned benefits from 1 practitioner
Practice locations: Tomball, TX

National Provider Directory

National Provider Directory

Locations

27721 State Highway 249
Ste 300
Tomball, TX 77375
Phone (281) 357-1300

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/HJBDCD

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1171324800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1353974400000",
    "number": "1003958323",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27721 TOMBALL PKWY",
            "address_2": "SUITE 300",
            "city": "TOMBALL",
            "state": "TX",
            "postal_code": "773756411",
            "telephone_number": "281-357-1300",
            "fax_number": "281-357-1309"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27721 TOMBALL PKWY",
            "address_2": "SUITE 300",
            "city": "TOMBALL",
            "state": "TX",
            "postal_code": "773756411",
            "telephone_number": "281-357-1300",
            "fax_number": "281-357-1309"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KIDNEY CENTER OF NORTH HOUSTON",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-13",
        "last_updated": "2012-11-27",
        "status": "A",
        "authorized_official_last_name": "BHURIWALA",
        "authorized_official_first_name": "SHUJAUDDIN",
        "authorized_official_title_or_position": "MEDICAL DOCTOR",
        "authorized_official_telephone_number": "281-357-1300",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Nephrology",
            "state": "TX",
            "license": "K8009",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "142418601",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "8A6910",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tomball, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.