Organization Active NPI

Infinity Hypertension and Kidney Care LLC

  • Nephrology Physician
  • Corpus Christi, TX
National Provider Identifier
1104409473
Registry record updated May 4, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
Legal business name
INFINITY HYPERTENSION AND KIDNEY CARE LLC
Practice address
3765 S Alameda St Ste 304
Corpus Christi, TX 78411-1671
Phone
(361) 884-2904
Fax
(361) 884-2919
NPI assigned
May 4, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 4, 2021

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

Authorized official

Name
Sridevi Konkimalla, MDNPI 1053477372
Title
President
Phone
(605) 214-3700

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: 193200000X MULTI-SPECIALTY GROUP 207RN0300X Primary

Addresses

Primary practice location

3765 S Alameda St Ste 304
Corpus Christi, TX 78411-1671

Mailing address

PO Box 61160
Corpus Christi, TX 78466-1160
Phone (361) 884-2904

Other identifiers 1

IdentifierTypeStateIssuer
R3894OtherTXTEXAS MEDICAL BOARD

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210510001388 TX Part B Supplier - Clinic/Group Practice 9133538804 Receives reassigned benefits from 3 practitioners
Practice locations: Corpus Christi, TX; Falfurrias, TX; Kingsville, TX; Robstown, TX; Rockport, TX; San Antonio, TX; Sinton, TX; Alice, TX…

National Provider Directory

National Provider Directory

Locations

3765 S Alameda St
Ste 304
Corpus Christi, TX 78411

1121 3rd St
Corpus Christi, TX 78404
Phone (361) 884-8254

600 Elizabeth St
Fl 3
Corpus Christi, TX 78404
Phone (361) 881-3223

600 Elizabeth St
#3
Corpus Christi, TX 78404

4112 S Staples St
Corpus Christi, TX 78411

6017 Parkway Dr
Corpus Christi, TX 78414
Phone (361) 986-1567

5834 Yorktown Blvd
Corpus Christi, TX 78414
Phone (361) 993-0480

1533 Holly Rd
Corpus Christi, TX 78417
Phone (361) 850-7300

6000 S Staples St
Ste 406
Corpus Christi, TX 78413
Phone (361) 444-5255

6000 S Staples St
Corpus Christi, TX 78413
Phone (361) 980-8005

4300 S Padre Island Dr
Corpus Christi, TX 78411
Phone (361) 808-8101

902 Lincoln Ave
Robstown, TX 78380
Phone (361) 767-0408

222 E Sinton St
Sinton, TX 78387
Phone (361) 364-1968

Practitioners & affiliated clinicians

Practitioners 8

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": "1620086400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1620086400000",
    "number": "1104409473",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 61160",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784661160",
            "telephone_number": "361-884-2904",
            "fax_number": "361-857-0572"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3765 S ALAMEDA ST STE 304",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784111671",
            "telephone_number": "361-884-2904",
            "fax_number": "361-884-2919"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INFINITY HYPERTENSION AND KIDNEY CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-05-04",
        "last_updated": "2021-05-04",
        "certification_date": "2021-05-04",
        "status": "A",
        "authorized_official_last_name": "KONKIMALLA",
        "authorized_official_first_name": "SRIDEVI",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "605-214-3700",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Nephrology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TEXAS MEDICAL BOARD",
            "identifier": "R3894",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Corpus Christi, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2021; 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.