Organization Active NPI

Tower Medical Center of Nederland PA

  • Urgent Care Clinic/Center
  • Nederland, TX
National Provider Identifier
1033294004
Registry record updated Jan 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urgent Care Clinic/CenterTaxonomy code 261QU0200X
Legal business name
TOWER MEDICAL CENTER OF NEDERLAND PA
Practice address
3411 Spurlock Rd
Nederland, TX 77627-6430
Phone
(409) 724-2321
Fax
(409) 729-7237
NPI assigned
Oct 26, 2006
Last updated
Jan 15, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 15, 2025

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

Authorized official

Name
Mr. Ravi Kalidindi, MDNPI 1285969618
Title
Owner/ Physician
Phone
(409) 724-2321

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
Urgent Care Clinic/Center 261QU0200X Primary

Addresses

Primary practice location

3411 Spurlock Rd
Nederland, TX 77627-6430

Mailing address

PO Box 739032
Dallas, TX 75373-9032
Phone (409) 724-2321

Other practice location 1

2219 Texas Ave
Bridge City, TX 77611-2841
Phone (409) 247-6689

Other identifiers 1

IdentifierTypeStateIssuer
183039600OtherBUREAU OF PRISONS WC

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20231021000199 TX Part B Supplier - Clinic/Group Practice 8224484654 Receives reassigned benefits from 7 practitioners
Practice locations: Bridge City, TX; Nederland, TX

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
45D2289337Tower Medical Center of Nederland2219 Texas Ave, Bridge City, TX 77611Certificate of waiverSep 7, 2027

National Provider Directory

National Provider Directory

Locations

2100 Highway 365
Nederland, TX 77627
Phone (409) 724-2321

Practitioners & affiliated clinicians

Practitioners 8

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": "1161820800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1736899200000",
    "number": "1033294004",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 739032",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "753739032",
            "telephone_number": "409-724-2321",
            "fax_number": "409-729-7237"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3411 SPURLOCK RD",
            "city": "NEDERLAND",
            "state": "TX",
            "postal_code": "776276430",
            "telephone_number": "409-724-2321",
            "fax_number": "409-729-7237"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2219 Texas Ave",
            "address_purpose": "LOCATION",
            "city": "Bridge City",
            "state": "TX",
            "postal_code": "776112841",
            "country_code": "US",
            "telephone_number": "409-247-6689",
            "fax_number": "409-247-6690",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "TOWER MEDICAL CENTER OF NEDERLAND PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-26",
        "last_updated": "2025-01-15",
        "certification_date": "2025-01-15",
        "status": "A",
        "authorized_official_last_name": "KALIDINDI",
        "authorized_official_first_name": "RAVI",
        "authorized_official_title_or_position": "OWNER/ PHYSICIAN",
        "authorized_official_telephone_number": "409-724-2321",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BUREAU OF PRISONS WC",
            "identifier": "183039600",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Nederland, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2025; 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.