NPIMap

Organization Active NPI

Kidney Care of Dallas PLLC

  • Nephrology Physician
  • Dallas, TX
National Provider Identifier
1033658174
Registry record updated Aug 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
P2822 Issued in TX
Legal business name
KIDNEY CARE OF DALLAS PLLC
Practice address
10611 Garland Rd Ste 105
Dallas, TX 75218-2680
Phone
(469) 904-2020
Fax
(469) 904-2028
NPI assigned
Feb 22, 2017
Last updated
Aug 15, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 15, 2025

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

Authorized official

Name
Syed M Ali, M.D.NPI 1144434010
Title
Owner/MD
Phone
(713) 397-7789

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X P2822 TX
Nephrology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RN0300X P2822 TX Primary

Addresses

Primary practice location

10611 Garland Rd Ste 105
Dallas, TX 75218-2680

Mailing address

519 E Interstate 30 Ste 417
Rockwall, TX 75087-5408
Phone (469) 904-2020

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20170413001860 TX Part B Supplier - Clinic/Group Practice 5395021968 Receives reassigned benefits from 17 practitioners
Practice locations: Mesquite, TX

National Provider Directory

National Provider Directory

Member organizations 1

Organizations listed as members of this organization in the National Provider Directory.

Locations

3560 E Park Blvd
Plano, TX 75074
Phone (972) 424-0579

Practitioners & affiliated clinicians

Practitioners 17

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.

View all 17

NPI Registry JSON

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

{
    "created_epoch": "1487721600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1755216000000",
    "number": "1033658174",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "519 E INTERSTATE 30 STE 417",
            "city": "ROCKWALL",
            "state": "TX",
            "postal_code": "750875408",
            "telephone_number": "469-904-2020",
            "fax_number": "469-904-2028"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10611 GARLAND RD STE 105",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752182680",
            "telephone_number": "469-904-2020",
            "fax_number": "469-904-2028"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KIDNEY CARE OF DALLAS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-02-22",
        "last_updated": "2025-08-15",
        "certification_date": "2025-08-15",
        "status": "A",
        "authorized_official_last_name": "ALI",
        "authorized_official_first_name": "SYED",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER/MD",
        "authorized_official_telephone_number": "713-397-7789",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "P2822",
            "primary": false
        },
        {
            "code": "207RN0300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Nephrology",
            "state": "TX",
            "license": "P2822",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 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.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.