Lone Star Kidney Care

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

License

N2790 Issued in TX

Legal business name

LONE STAR KIDNEY CARE

Practice address

800 8TH Ave
Suite 324
Fort Worth, TX 76104-2601

Phone

(817) 480-0392

NPI assigned

Oct 18, 2010

Last updated

Feb 28, 2012By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Dar B Shah, M.D.NPI 1841412855

Title

Manager

Phone

(817) 480-0392

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Dar Bharat Shah, M.D.

  • Nephrology Physician
  • Fort Worth, TX
  • NPI 1841412855
  Medicare reassignment NPD Authorized official
• Mudita Shah, MD

  • Allergy & Immunology Physician
  • Fort Worth, TX
  • NPI 1649492679
  NPD

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

{
    "created_epoch": "1287360000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1330387200000",
    "number": "1164732665",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 8TH AVE",
            "address_2": "SUITE 324",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761042601",
            "telephone_number": "817-480-0392"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 8TH AVE",
            "address_2": "SUITE 324",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761042601",
            "telephone_number": "817-480-0392"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LONE STAR KIDNEY CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-10-18",
        "last_updated": "2012-02-28",
        "status": "A",
        "authorized_official_last_name": "SHAH",
        "authorized_official_first_name": "DAR",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "817-480-0392",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "TX",
            "license": "N2790",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2860538",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lone Star Back PA
• Lone Star Cardiovascular Institute, P.L.L.C
• Lone Star Dental and Braces, PLLC
• Lone Star Family Practice, PA
• Lone Star Family Wellness
• Lone Star Neonatology at North Texas, PLLC
• Lone Star Neuro Service LLC
• Lone Star Orthopaedic and Spine Specialists, PLLC
• Lone Star Pet Imaging LLC
• Lone Star Renal PA

• Clinic/Center in Fort Worth, TX
• Providers in Fort Worth, TX by specialty
• Clinic/Center in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2012; 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.