Organization Active NPI

Houston Kidney Consultants PLLC

  • Nephrology Physician
  • Houston, TX
National Provider Identifier
1174902886
Registry record updated Apr 26, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
Legal business name
HOUSTON KIDNEY CONSULTANTS PLLC
Practice address
6560 Fannin St
Suite 2206
Houston, TX 77030-2761
Phone
(713) 790-4616
Fax
(713) 969-4851
NPI assigned
May 27, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 26, 2023

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

Authorized official

Name
Dr. Peter Nguyen, MDNPI 1700974508
Title
Ceo
Phone
(713) 790-4616

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 Primary

Addresses

Primary practice location

6560 Fannin St
Suite 2206
Houston, TX 77030-2761

Mailing address

6560 Fannin St Ste 2206
Houston, TX 77030-2726
Phone (713) 790-4615

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20150925000471 TX Part B Supplier - Clinic/Group Practice 1456669431 Receives reassigned benefits from 7 practitioners
Practice locations: Houston, TX

National Provider Directory

National Provider Directory

Locations

6560 Fannin St
Ste 2206
Houston, TX 77030
Phone (713) 790-4615

5923 Westheimer Rd
Houston, TX 77057
Phone (281) 358-3071

Practitioners & affiliated clinicians

Practitioners 7

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

NPI Registry JSON

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

{
    "created_epoch": "1432684800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1682467200000",
    "number": "1174902886",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6560 FANNIN ST STE 2206",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770302726",
            "telephone_number": "713-790-4615",
            "fax_number": "713-790-5878"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6560 FANNIN ST",
            "address_2": "SUITE 2206",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770302761",
            "telephone_number": "713-790-4616",
            "fax_number": "713-969-4851"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOUSTON KIDNEY CONSULTANTS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-05-27",
        "last_updated": "2023-04-26",
        "certification_date": "2023-04-26",
        "status": "A",
        "authorized_official_last_name": "NGUYEN",
        "authorized_official_first_name": "PETER",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "713-790-4616",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Nephrology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2023; 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.