North Texas Kidney Disease Associates

Primary specialty

Nephrology PhysicianTaxonomy code 207RN0300X

Legal business name

NORTH TEXAS KIDNEY DISEASE ASSOCIATES

Practice address

4370 Medical Arts Dr
Suite 210
Flower Mound, TX 75028

Phone

(972) 219-0558

Fax

(972) 436-9273

NPI assigned

Feb 15, 2016

Last updated

Jul 17, 2024By the provider in NPPES

Organization subpart

Yes

Parent organization

NORTH TEXAS KIDNEY DISEASE ASSOCIATESAs reported in NPPES

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

Authorized official

Name

Sirena Martin

Title

Practice Manager

Phone

(214) 466-7230

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Other NPIs on the same Medicare enrollment 4

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

• North Texas Kidney Disease Associates

  • Nephrology Physician
  • Carrollton, TX
  • NPI 1154777068

  O20040422001106

  Same enrollment
• North Texas Kidney Disease Associates

  • Nephrology Physician
  • North Richland Hills, TX
  • NPI 1245492511

  O20040422001106

  Same enrollment
• North Texas Kidney Disease Associates

  • Nephrology Physician
  • Fort Worth, TX
  • NPI 1770942773

  O20040422001106

  Same enrollment
• North Texas Kidney Disease Associates

  • Nephrology Physician
  • Lewisville, TX
  • NPI 1821169632

  O20040422001106

  Same enrollment

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

CLIA laboratory certificates

Part of

North Texas Kidney Disease

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/23918/brand/1/csg/1/fhir/r4

Practitioners 3

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.

• Jun Chen, MD

  • Nephrology Physician
  • Plano, TX
  • NPI 1477583763
  NPD
• Kristine Tan Gapuz, MD

  • Nephrology Physician
  • North Richland Hills, TX
  • NPI 1780246132
  NPD
• Zhi Mao, M.D

  • Nephrology Physician
  • Plano, TX
  • NPI 1609087600
  NPD

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

{
    "created_epoch": "1455494400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1721174400000",
    "number": "1063871440",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1600 WATERS RIDGE DR STE A",
            "city": "LEWISVILLE",
            "state": "TX",
            "postal_code": "750576039",
            "telephone_number": "972-219-0558",
            "fax_number": "214-466-7237"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4370 MEDICAL ARTS DR",
            "address_2": "SUITE 210",
            "city": "FLOWER MOUND",
            "state": "TX",
            "postal_code": "75028",
            "telephone_number": "972-219-0558",
            "fax_number": "972-436-9273"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH TEXAS KIDNEY DISEASE ASSOCIATES",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "NORTH TEXAS KIDNEY DISEASE ASSOCIATES",
        "enumeration_date": "2016-02-15",
        "last_updated": "2024-07-17",
        "certification_date": "2024-07-17",
        "status": "A",
        "authorized_official_last_name": "MARTIN",
        "authorized_official_first_name": "SIRENA",
        "authorized_official_title_or_position": "PRACTICE MANAGER",
        "authorized_official_telephone_number": "214-466-7230"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hailey Norbot
• Vanessa A Norris, MD
• Will Norsworthy, PH. D.
• North Star FM, LP (North Star Diagnostic Imaging)
• North Texas Integratged Healthcare
• North Texas Kidney Disease Associates
• North Texas Movement Disorders Institute, Inc
• Northshore Family Dental PLLC
• Northwest Texas Cardiology Associates PA
• Salima Nota, PA-C

• Nephrology Physician in Flower Mound, TX
• Providers in Flower Mound, TX by specialty
• Nephrology Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 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.