Victoria Nephrology Associates LLC

Primary specialty

Nephrology PhysicianTaxonomy code 207RN0300X

License

N1373 Issued in TX

Legal business name

VICTORIA NEPHROLOGY ASSOCIATES LLC

Practice address

2710 Hospital Dr Ste 114
Victoria, TX 77901-5743

Phone

(361) 582-7999

Fax

(361) 582-7998

NPI assigned

Aug 24, 2011

Organization subpart

No

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

Authorized official

Name

Haresh Kumar, M.D.NPI 1518087576

Title

MD

Phone

(361) 582-7999

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Practitioners 3

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

• Haresh Kumar, M.D

  • Nephrology Physician
  • Victoria, TX
  • NPI 1518087576
  Medicare reassignment Care Compare group NPD Authorized official
• Bradley Bomba

  • Nurse Practitioner
  • Victoria, TX
  • NPI 1356957591
  Medicare reassignment Care Compare group NPD
• Faisal Nazir Ahmed Khan, MBBS

  • Internal Medicine Physician
  • Beeville, TX
  • NPI 1811136039

  Nephrology

  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1314144000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1474329600000",
    "number": "1023398989",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2710 HOSPITAL DR STE 114",
            "city": "VICTORIA",
            "state": "TX",
            "postal_code": "779015743",
            "telephone_number": "361-582-7999",
            "fax_number": "361-582-7998"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2710 HOSPITAL DR STE 114",
            "city": "VICTORIA",
            "state": "TX",
            "postal_code": "779015743",
            "telephone_number": "361-582-7999",
            "fax_number": "361-582-7998"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VICTORIA NEPHROLOGY ASSOCIATES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-08-24",
        "last_updated": "2016-09-20",
        "status": "A",
        "authorized_official_last_name": "KUMAR",
        "authorized_official_first_name": "HARESH",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "361-582-7999",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Nephrology",
            "state": "TX",
            "license": "N1373",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Victoria Kidney & Dialysis Associates
• Victoria Kids Dentistry PLLC
• Victoria Medical & Rehabilitation Associates, P.a.
• Victoria Metro Anesthesia
• Victoria MRI LTD
• Victoria NP Clinic PLLC
• Victoria Obstetrics & Gynecology Associates, PA
• Victoria of Texas LP
• Victoria of Texas LP
• Victoria of Texas LP

• Nephrology Physician in Victoria, TX
• Providers in Victoria, TX by specialty
• Nephrology Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2016; 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.