Organization Active NPI

Kidney Consultants of El Paso

  • Nephrology Physician
  • El Paso, TX
National Provider Identifier
1174584114
Registry record updated Apr 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
G9705 Issued in 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
Last updated
Apr 4, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 4, 2025

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

Authorized official

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

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RN0300X G9705 TX Primary

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 1

TypeEndpointUseAffiliation
Direct Messaging Address credentialing@nephdocs.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

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

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
45D0509416Kidney Consultants of El Paso PA125 West Hague Road Ste 440, El Paso, TX 79902Provider-performed microscopyAug 31, 2026
45D1106474Kidney Consultants of El Paso PA1566 Lomaland Drive, El Paso, TX 79935Provider-performed microscopyOct 14, 2027

National Provider Directory

National Provider Directory

Locations

125 W Hague Rd
Ste 57
El Paso, TX 79902

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

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

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

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

Practitioners & affiliated clinicians

Practitioners 9

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.

NPI Registry JSON

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

{
    "created_epoch": "1143590400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1743724800000",
    "number": "1174584114",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1566 LOMALAND DR",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799354202",
            "telephone_number": "915-544-7767",
            "fax_number": "915-532-6938"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1566 LOMALAND DR",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799354202",
            "telephone_number": "915-544-7767",
            "fax_number": "915-532-6938"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "125 W Hague Rd",
            "address_2": "Suite 570",
            "address_purpose": "LOCATION",
            "city": "El Paso",
            "state": "TX",
            "postal_code": "799025814",
            "country_code": "US",
            "telephone_number": "915-544-7767",
            "fax_number": "915-532-6938",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5525 Woodrow Bean #9",
            "address_purpose": "LOCATION",
            "city": "El Paso",
            "state": "TX",
            "postal_code": "79924",
            "country_code": "US",
            "telephone_number": "915-544-7767",
            "fax_number": "915-532-6938",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "KIDNEY CONSULTANTS OF EL PASO",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-29",
        "last_updated": "2025-04-04",
        "certification_date": "2025-04-01",
        "status": "A",
        "authorized_official_last_name": "ALVAREZ",
        "authorized_official_first_name": "DIONICIO",
        "authorized_official_title_or_position": "OFFICER",
        "authorized_official_telephone_number": "915-544-7767",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Nephrology",
            "state": "TX",
            "license": "G9705",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "credentialing@nephdocs.com",
            "affiliation": "N",
            "address_1": "120 W 22nd St",
            "city": "Oak Brook",
            "state": "IL",
            "country_code": "US",
            "postal_code": "605231557",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in El Paso, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.