Organization Active NPI

North Houston Renal Consultants, P.a.

  • Nephrology Physician
  • Humble, TX
National Provider Identifier
1114130457
Registry record updated Sep 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
J9082 Issued in TX
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

Updated by the provider on Sep 21, 2022

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)CodeLicenseStatePrimary
Nephrology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
DC1367OtherTXPGBA
0098JSOtherTXBCBS
167641301OtherTXAMERIGROUP
167641301MedicaidTX
614460423OtherTXCIGNA

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL EclinicalWorks

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040802001557 TX Part B Supplier - Clinic/Group Practice 6608847892 Receives reassigned benefits from 2 practitioners
Practice locations: Humble, 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
45D0966584North Houston Renal Consultants19502 McKay Blvd Ste 200, Humble, TX 77338Certificate of waiverOct 19, 2027

National Provider Directory

National Provider Directory

Locations

19502 McKay Dr
Ste 200
Humble, TX 77338
Phone (281) 540-8779

Interoperability endpoints

  • FHIR API: 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.

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

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.

Verify at the official NPI Registry.