Space City Associates of Nephrology, PA

Primary specialty

Nephrology PhysicianTaxonomy code 207RN0300X

Legal business name

SPACE CITY ASSOCIATES OF NEPHROLOGY, PA

Practice address

560 Blossom St Ste C
Webster, TX 77598-4237

Phone

(832) 905-6141

Fax

(832) 200-3259

NPI assigned

Apr 11, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Mahendra Agraharkar, M.D.NPI 1194751297

Title

Medical Director

Phone

(832) 905-6141

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Locations

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Mahendra Agraharkar, M.D.

  • Nephrology Physician
  • League City, TX
  • NPI 1194751297
  Medicare reassignment Care Compare group NPD Authorized official
• Daniel Sloan Rospert, MD

  • Nephrology Physician
  • Webster, TX
  • NPI 1407483688
  Medicare reassignment Care Compare group NPD
• Geetha Seerangan, M.D.

  • Nephrology Physician
  • Webster, TX
  • NPI 1376747303
  Medicare reassignment Care Compare group NPD
• Rohan Patankar, D.O.

  • Internal Medicine Physician
  • Hockley, TX
  • NPI 1699041608
  Medicare reassignment
• Elizabeth Kay Smith, FNP-BC

  • Family Nurse Practitioner
  • Conroe, TX
  • NPI 1932758042
  Medicare reassignment
• Aruna M Agraharkar, MD

  • Geriatric Medicine (Internal Medicine) Physician
  • Webster, TX
  • NPI 1316044126
  NPD
• Muralidhar Reddy Yerramadha, MD

  • Internal Medicine Physician
  • Webster, TX
  • NPI 1609184027
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1176249600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1738713600000",
    "number": "1164645511",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2301 CARINA CT",
            "city": "LEAGUE CITY",
            "state": "TX",
            "postal_code": "775732879",
            "telephone_number": "281-554-5445",
            "fax_number": "281-554-5445"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "560 BLOSSOM ST STE C",
            "city": "WEBSTER",
            "state": "TX",
            "postal_code": "775984237",
            "telephone_number": "832-905-6141",
            "fax_number": "832-200-3259"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPACE CITY ASSOCIATES OF NEPHROLOGY, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-11",
        "last_updated": "2025-02-05",
        "certification_date": "2025-02-05",
        "status": "A",
        "authorized_official_last_name": "AGRAHARKAR",
        "authorized_official_first_name": "MAHENDRA",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "832-905-6141",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Nephrology",
            "state": "TX",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "193620501",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Southern Dental at Baybrook PLLC
• Southshore Family Medicine, P.a.
• Southshore Family Medicine, P.a.
• Southwest Radiology Assn
• Space Center Chiropractic
• Space City Emergency Physicians
• Space City Pain Specialists
• Space City Physical Therapy LLC
• Space City Vision Center
• Richard Glen Sparks, D.D.S.

• Nephrology Physician in Webster, TX
• Providers in Webster, TX by specialty
• Nephrology Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2025; 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.