Active NPI
Kidney Care Institute PLLC
- Nephrology Physician
- Conroe, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nephrology Physician
- Legal business name
- KIDNEY CARE INSTITUTE PLLC
- Practice address
- 2400 Farm to Market Rd 1488 #400
Conroe, TX 77384 - Phone
- (281) 206-7880
- NPI assigned
- Jun 3, 2021
- 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
- Sunitha Mogalla
- Title
- Supervisor
- Phone
- (347) 920-9281
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nephrology Physician | 207RN0300X | Primary |
Addresses
Primary practice location
2400 Farm to Market Rd 1488 #400
Conroe, TX 77384
Mailing address
7 Archer Oak PL
Spring, TX 77382-2583
Phone (347) 920-9281
Other practice location 1
25312 Interstate 45 N
Spring, TX 77386-1449
Phone (832) 410-8389
Other practice location 2
2400 Fm 1488 Rd Ste 400
Conroe, TX 77384-4958
Phone (832) 410-8389
Other names 1
- Kidney Care Institute PLLC
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
2400 FM 1488 Rd
Ste 400
Conroe, TX 77384
Phone (832) 410-8389
6700 Woodlands Pkwy
Ste 230289
Spring, TX 77382
25510 Interstate 45 N
#101
Spring, TX 77386
Phone (832) 410-8389
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Nephrology Physician
- Bryan, TX
- NPI 1821243171
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1622678400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1622678400000",
"number": "1164098778",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7 ARCHER OAK PL",
"city": "SPRING",
"state": "TX",
"postal_code": "773822583",
"telephone_number": "347-920-9281"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2400 FARM TO MARKET RD 1488 #400",
"city": "CONROE",
"state": "TX",
"postal_code": "77384",
"telephone_number": "281-206-7880"
}
],
"practiceLocations": [
{
"address_1": "25312 Interstate 45 N",
"address_purpose": "LOCATION",
"city": "Spring",
"state": "TX",
"postal_code": "773861449",
"country_code": "US",
"telephone_number": "832-410-8389",
"fax_number": "832-410-4925",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2400 Fm 1488 Rd Ste 400",
"address_purpose": "LOCATION",
"city": "Conroe",
"state": "TX",
"postal_code": "773844958",
"country_code": "US",
"telephone_number": "832-410-8389",
"fax_number": "832-410-4925",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "KIDNEY CARE INSTITUTE PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2021-06-03",
"last_updated": "2021-06-03",
"certification_date": "2021-05-03",
"status": "A",
"authorized_official_last_name": "MOGALLA",
"authorized_official_first_name": "SUNITHA",
"authorized_official_title_or_position": "SUPERVISOR",
"authorized_official_telephone_number": "347-920-9281"
},
"taxonomies": [
{
"code": "207RN0300X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine, Nephrology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Kidney Care Institute PLLC",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Conroe, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 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.