Beaumont Nephrology Associates

Primary specialty

Nephrology PhysicianTaxonomy code 207RN0300X

Legal business name

BEAUMONT NEPHROLOGY ASSOCIATES

Doing business as

Beaumont Nephrology Associates

Practice address

710 S 8TH St Ste a
Beaumont, TX 77701-4680

Phone

(409) 212-9240

Fax

(409) 212-9239

NPI assigned

Aug 23, 2006

Last updated

Oct 11, 2021By 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

Amy S Anderson

Title

Office Manager

Phone

(409) 212-9240

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Beaumont Nephrology Associates Doing business as

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Beaumont Nephrology Associates

  • Nephrology Physician
  • Jasper, TX
  • NPI 1710157722

  O20051026000086

  Same enrollment

Tax ID family

Beaumont Nephrology Associates2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Beaumont Nephrology Associates

  • Nephrology Physician
  • Woodville, TX
  • NPI 1356511356
  NPD tax ID

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/HAEBBD

Practitioners 3

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.

• Ajith Kuriakose, MD

  • Nephrology Physician
  • Beaumont, TX
  • NPI 1073772224
  Medicare reassignment NPD
• Carline Pierre-Louis Cenatus, PA

  • Physician Assistant
  • Beaumont, TX
  • NPI 1386972172
  NPD
• Timi A Akins, MD

  • Nephrology Physician
  • Madisonville, KY
  • NPI 1023099561
  NPD (past)

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

{
    "created_epoch": "1156291200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1633910400000",
    "number": "1174639892",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "710 S 8TH ST STE A",
            "city": "BEAUMONT",
            "state": "TX",
            "postal_code": "777014680",
            "telephone_number": "409-212-9240",
            "fax_number": "409-212-9239"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "710 S 8TH ST STE A",
            "city": "BEAUMONT",
            "state": "TX",
            "postal_code": "777014680",
            "telephone_number": "409-212-9240",
            "fax_number": "409-212-9239"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEAUMONT NEPHROLOGY ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-23",
        "last_updated": "2021-10-11",
        "certification_date": "2021-10-05",
        "status": "A",
        "authorized_official_last_name": "ANDERSON",
        "authorized_official_first_name": "AMY",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "409-212-9240"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0936379-01",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Beaumont Nephrology Associates",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Beaumont Nephrology Associates",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Beaumont Independent School District
• Beaumont Internal Medicine & Geriatric Assoc.
• Beaumont Kidney Specialists, PA
• Beaumont Lotus Dental
• Beaumont MRI Inc (American Health Imaging of Beaumont)
• Beaumont Neurosurgical Spine Associates PA
• Beaumont Nursing and Rehabilitation LP
• Beaumont Orthodontic Specialists
• Beaumont Pathology Associates PA
• Beaumont Pediatric Center, PLLC

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2021; 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.