Active NPI
North Houston Renal Consultants, P.a.
- Nephrology Physician
- Humble, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nephrology Physician
- License
- J9082
- Legal business name
- NORTH HOUSTON RENAL CONSULTANTS, P.A.
- Practice address
- 19502 McKay Dr Ste 200
Humble, TX 77338-5720 - Phone
- (281) 540-8779
- Fax
- (281) 540-8798
- NPI assigned
- May 7, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Denean Louise Johnson
- Title
- Office Manager
- Phone
- (281) 540-8779
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nephrology Physician | 207RN0300X | J9082 | TX | Primary |
Addresses
Primary practice location
19502 McKay Dr Ste 200
Humble, TX 77338-5720
Mailing address
19502 McKay Dr Ste 200
Humble, TX 77338-5720
Phone (281) 540-8779
Other practice location 1
1125 Cypress Station Dr Ste G-3
Houston, TX 77090-3055
Phone (281) 540-8779
Other practice location 2
212 N College Ave
Cleveland, TX 77327-4008
Phone (281) 592-5688
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| DC1367 | Other | TX | PGBA |
| 0098JS | Other | TX | BCBS |
| 167641301 | Other | TX | AMERIGROUP |
| 167641301 | Medicaid | TX | |
| 614460423 | Other | TX | CIGNA |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | EclinicalWorks |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 45D0966584 | North Houston Renal Consultants | Certificate of waiver | Oct 19, 2027 |
National Provider Directory
National Provider DirectoryLocations
19502 McKay Dr
Ste 200
Humble, TX 77338
Phone (281) 540-8779
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/DHEACA
Practitioners & affiliated clinicians
Practitioners 4
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Nephrology Physician
- Humble, TX
- NPI 1447257993
-
- Nephrology Physician
- Humble, TX
- NPI 1679570139
-
- Surgical Assistant
- Humble, TX
- NPI 1922559269
-
- Nephrology Physician
- Humble, TX
- NPI 1316188519
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1178496000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1663718400000",
"number": "1114130457",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "19502 MCKAY DR STE 200",
"city": "HUMBLE",
"state": "TX",
"postal_code": "773385720",
"telephone_number": "281-540-8779",
"fax_number": "281-540-8798"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "19502 MCKAY DR STE 200",
"city": "HUMBLE",
"state": "TX",
"postal_code": "773385720",
"telephone_number": "281-540-8779",
"fax_number": "281-540-8798"
}
],
"practiceLocations": [
{
"address_1": "1125 Cypress Station Dr Ste G-3",
"address_purpose": "LOCATION",
"city": "Houston",
"state": "TX",
"postal_code": "770903055",
"country_code": "US",
"telephone_number": "281-540-8779",
"fax_number": "281-540-8798",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "212 N College Ave",
"address_purpose": "LOCATION",
"city": "Cleveland",
"state": "TX",
"postal_code": "773274008",
"country_code": "US",
"telephone_number": "281-592-5688",
"fax_number": "281-540-8798",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "NORTH HOUSTON RENAL CONSULTANTS, P.A.",
"organizational_subpart": "NO",
"enumeration_date": "2007-05-07",
"last_updated": "2022-09-21",
"certification_date": "2022-09-21",
"status": "A",
"authorized_official_last_name": "JOHNSON",
"authorized_official_first_name": "DENEAN",
"authorized_official_middle_name": "LOUISE",
"authorized_official_title_or_position": "OFFICE MANAGER",
"authorized_official_telephone_number": "281-540-8779"
},
"taxonomies": [
{
"code": "207RN0300X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine, Nephrology",
"state": "TX",
"license": "J9082",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PGBA",
"identifier": "DC1367",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "0098JS",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AMERIGROUP",
"identifier": "167641301",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "167641301",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "614460423",
"state": "TX"
}
],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "EclinicalWorks",
"affiliation": "N",
"address_1": "1125 Cypress Station Dr Ste G-3",
"city": "Houston",
"state": "TX",
"country_code": "US",
"postal_code": "770903055",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Humble, TX
- North Houston Bone and Joint, PLLC
- North Houston Diabetes Institute PLLC
- North Houston Hand Care, PLLC
- North Houston Med Equip LLC
- North Houston Neurosurgery, PLLC
- North Houston Respiratory Consultants PA
- North Houston Surgery Center I, LP
- North Houston Surgical Associates, PLLC
- North Houston Urology Services, PLLC
- North Lake Houston Chiropractic Center, Inc.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2022; 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.