Innovative Dialysis Solutions at Home, PLLC

Primary specialty

End-Stage Renal Disease (ESRD) Treatment Clinic/CenterTaxonomy code 261QE0700X

Legal business name

INNOVATIVE DIALYSIS SOLUTIONS AT HOME, PLLC

Practice address

2795 Bulverde Rd
Bulverde, TX 78163-2195

Phone

(830) 714-9242

Fax

(830) 714-7467

NPI assigned

Apr 1, 2015

Last updated

May 7, 2022By 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

Robert Szewc, M.D.NPI 1992759476

Title

Nephrologist

Phone

(210) 277-1418

Specialties & licenses 1

Addresses

Other identifiers 1

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.

• Robert G Szewc, MD

  • Nephrology Physician
  • San Antonio, TX
  • NPI 1992759476
  Authorized official Same address or phone
• Srinath Krishnamachary Tamirisa, MD

  • Nephrology Physician
  • Greenwood Village, CO
  • NPI 1639372949
  NPD

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

{
    "created_epoch": "1427846400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1651881600000",
    "number": "1164817664",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "915 S LAREDO ST STE 200",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782043211"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2795 BULVERDE RD",
            "city": "BULVERDE",
            "state": "TX",
            "postal_code": "781632195",
            "telephone_number": "830-714-9242",
            "fax_number": "830-714-7467"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INNOVATIVE DIALYSIS SOLUTIONS AT HOME, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-04-01",
        "last_updated": "2022-05-07",
        "certification_date": "2022-05-07",
        "status": "A",
        "authorized_official_last_name": "SZEWC",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "NEPHROLOGIST",
        "authorized_official_telephone_number": "210-277-1418",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QE0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, End-Stage Renal Disease (ESRD) Treatment",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3929473-01",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Maiara Lisiane Hister-Cockrell
• Duyen Ho, MDS, RDN, LD
• Ronald Ayers Holliday Jr., FNP
• Home Town Family Healthcare
• Alexa Alayne Hyde
• Integrated Behavior Solutions, Inc.
• Irvin P. Brock III, M.D., P.a.
• Ivgc Home Health Services LLC
• Jeffrey M Locke, LCSW, PLLC
• John C. Sykes, D.D.S., P.a. (Bulverde Hills Dental)

• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Bulverde, TX
• Providers in Bulverde, TX by specialty
• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.