Kidney Consultants of El Paso

Organization Active NPI Nephrology Physician · El Paso, TX

NPI 1174584114 · NPPES record last updated Apr 4, 2025

Key facts

NPI
1174584114
Entity type
Organization (NPI type 2)
Primary specialty
Nephrology Physician 207RN0300X
License
G9705 (TX)
Legal business name
KIDNEY CONSULTANTS OF EL PASO
Practice address
1566 Lomaland Dr
El Paso, TX 79935-4202
Phone
(915) 544-7767
Fax
(915) 532-6938
NPI assigned
Mar 29, 2006
Organization subpart
No

Authorized official

Name
Dr. Dionicio Alvarez, MD NPI 1275504490
Title
Officer
Phone
(915) 544-7767

Authorized official NPPES reports the authorized official by name only; the link goes to the one practitioner connected to this organization with that name.

Practitioners 9

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

Laboratory certificates & supplier records

Name & address match These CMS records do not include an NPI. They are shown here because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
45D0509416Kidney Consultants of El Paso PA
125 West Hague Road Ste 440, El Paso, TX 79902
Provider-performed microscopyAug 31, 2026
45D1106474Kidney Consultants of El Paso PA
1566 Lomaland Drive, El Paso, TX 79935
Provider-performed microscopyOct 14, 2027

Medicare participation

Medicare fee-for-service enrollment
Enrolled in TX

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
O20050506000157 TX Part B Supplier - Clinic/Group Practice 1355381518 Receives reassigned benefits from 8 practitioners
Practice locations: El Paso, TX

National Provider Directory

Locations

125 W Hague Rd
Ste 57
El Paso, TX 79902

125 W Hague Rd
Ste 440
El Paso, TX 79902
Phone (915) 533-5733

125 W Hague Rd
Ste 570
El Paso, TX 79902
Phone (915) 541-1156

5525 Woodrow Bean 9
El Paso, TX 79924
Phone (915) 544-7767

5255 Woodrow Bean
Ste 9
El Paso, TX 79924
Phone (915) 544-7767

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician
Group: 193400000X SINGLE SPECIALTY GROUP
207RN0300X G9705 TX Yes

Addresses

Primary practice location

1566 Lomaland Dr
El Paso, TX 79935-4202

Mailing address

1566 Lomaland Dr
El Paso, TX 79935-4202
Phone (915) 544-7767

Other practice location 1

125 W Hague Rd
Suite 570
El Paso, TX 79902-5814
Phone (915) 544-7767

Other practice location 2

5525 Woodrow Bean #9
El Paso, TX 79924
Phone (915) 544-7767

Electronic endpoints

TypeEndpointUseAffiliation
Direct Messaging Address credentialing@nephdocs.com

Other providers in El Paso, TX

All providers in El Paso, TX · Nephrology Physician in Texas

Sources for this page

Verify at the official NPI Registry.