Organization Active NPI

Renal Care of Texas PLLC

  • Nephrology Physician
  • Mansfield, TX
National Provider Identifier
1114549128
Registry record updated Jan 25, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
Legal business name
RENAL CARE OF TEXAS PLLC
Practice address
309 Regency Pkwy Ste 201
Mansfield, TX 76063-5165
Phone
(682) 235-0825
Fax
(248) 294-1235
NPI assigned
May 13, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 25, 2022

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

Authorized official

Name
Ranjit K Dhelaria, MDNPI 1386891315
Title
President/Owner
Phone
(682) 235-0825

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: 193400000X SINGLE SPECIALTY GROUP 207RN0300X Primary

Addresses

Primary practice location

309 Regency Pkwy Ste 201
Mansfield, TX 76063-5165

Mailing address

309 Regency Pkwy Ste 201
Mansfield, TX 76063-5165
Phone (682) 235-0825

Other identifiers 1

IdentifierTypeStateIssuer
NAMedicaidTX

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200609000886 TX Part B Supplier - Clinic/Group Practice 8426479965 Receives reassigned benefits from 2 practitioners
Practice locations: Denton, TX; Mansfield, TX

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

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": "1589328000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1643068800000",
    "number": "1114549128",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "309 REGENCY PKWY STE 201",
            "city": "MANSFIELD",
            "state": "TX",
            "postal_code": "760635165",
            "telephone_number": "682-235-0825",
            "fax_number": "248-294-1235"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "309 REGENCY PKWY STE 201",
            "city": "MANSFIELD",
            "state": "TX",
            "postal_code": "760635165",
            "telephone_number": "682-235-0825",
            "fax_number": "248-294-1235"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RENAL CARE OF TEXAS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-05-13",
        "last_updated": "2022-01-25",
        "certification_date": "2022-01-25",
        "status": "A",
        "authorized_official_last_name": "DHELARIA",
        "authorized_official_first_name": "RANJIT",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "682-235-0825",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Nephrology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "NA",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mansfield, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2022; 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.