Innovative Dialysis Solutions at Home of Devine

Primary specialty

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

Legal business name

INNOVATIVE DIALYSIS SOLUTIONS AT HOME OF DEVINE

Practice address

11040 W Interstate 10 Ste 103
San Antonio, TX 78230-1080

Phone

(830) 541-5372

Fax

(830) 267-8110

NPI assigned

Jan 22, 2018

Organization subpart

No

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

Authorized official

Name

Mr. Mark Nail

Title

Business Manager

Phone

(972) 626-1117

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Practitioners 1

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

• Robert G Szewc, MD

  • Nephrology Physician
  • San Antonio, TX
  • NPI 1992759476
  NPD (past)

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

{
    "created_epoch": "1516579200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1775174400000",
    "number": "1184132425",
    "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",
            "telephone_number": "210-277-1418"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11040 W INTERSTATE 10 STE 103",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782301080",
            "telephone_number": "830-541-5372",
            "fax_number": "830-267-8110"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INNOVATIVE DIALYSIS SOLUTIONS AT HOME OF DEVINE",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-01-22",
        "last_updated": "2026-04-03",
        "certification_date": "2026-04-03",
        "status": "A",
        "authorized_official_last_name": "NAIL",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "BUSINESS MANAGER",
        "authorized_official_telephone_number": "972-626-1117",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QE0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, End-Stage Renal Disease (ESRD) Treatment",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ESRD LICENSE",
            "identifier": "110720",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3929473-01",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ray Innis, MD
• Megan Inniss-Thompson, OTR
• Innova Peace
• Innova Recovery, PLLC
• Innovations Home Health LLC
• Innovative Genomics LLC
• Innovative Health & Wellness LLC San Antonio Series
• Innovative Independence Inc.
• Innovative Medicine, Inc
• Innovative Occupational Therapy

• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in San Antonio, TX
• Providers in San Antonio, 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 Apr 3, 2026; 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.