Active NPI
Healing Kidneys Institute of Houston PLLC
- Nephrology Physician
- Conroe, TX
National Provider Identifier
1194103382
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nephrology Physician
- Legal business name
- HEALING KIDNEYS INSTITUTE OF HOUSTON PLLC
- Practice address
- 200 S Rivershire Dr Ste 300
Conroe, TX 77304-3485 - Phone
- (832) 610-2822
- Fax
- (936) 777-8831
- NPI assigned
- May 8, 2015
- Last updated
- Jul 11, 2022
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Madhavilatha Vuppali, MD
- Title
- President
- Phone
- (832) 610-2822
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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | NU | ||
| Nephrology Physician | 207RN0300X | NU | Primary |
Addresses
Primary practice location
200 S Rivershire Dr Ste 300
Conroe, TX 77304-3485
Mailing address
200 S Rivershire Dr Ste 300
Conroe, TX 77304-3485
Phone (832) 610-2822
Other practice location 1
150 Pine Forest Dr Ste 101
Shenandoah, TX 77384-5302
Phone (832) 610-2822
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 209330403 | Medicaid | TX |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
17320 Red Oak Dr
Houston, TX 77090
Phone (832) 610-2822
724 FM 1960 Rd W
Ste 210
Houston, TX 77090
Practitioners & affiliated clinicians
Practitioners 7
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.
-
- Family Nurse Practitioner
- Tomball, TX
- NPI 1598235046
-
- Internal Medicine Physician
- Houston, TX
- NPI 1891149399
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1431043200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1657497600000",
"number": "1194103382",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "200 S RIVERSHIRE DR STE 300",
"city": "CONROE",
"state": "TX",
"postal_code": "773043485",
"telephone_number": "832-610-2822",
"fax_number": "936-777-8831"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "200 S RIVERSHIRE DR STE 300",
"city": "CONROE",
"state": "TX",
"postal_code": "773043485",
"telephone_number": "832-610-2822",
"fax_number": "936-777-8831"
}
],
"practiceLocations": [
{
"address_1": "150 Pine Forest Dr Ste 101",
"address_purpose": "LOCATION",
"city": "Shenandoah",
"state": "TX",
"postal_code": "773845302",
"country_code": "US",
"telephone_number": "832-610-2822",
"fax_number": "936-777-8831",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "HEALING KIDNEYS INSTITUTE OF HOUSTON PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2015-05-08",
"last_updated": "2022-07-11",
"certification_date": "2022-07-11",
"status": "A",
"authorized_official_last_name": "VUPPALI",
"authorized_official_first_name": "MADHAVILATHA",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "832-610-2822",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "207RN0300X",
"taxonomy_group": "",
"desc": "Internal Medicine, Nephrology",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "209330403",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}Other providers in Conroe, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2022; 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.