NPIMap

Organization Active NPI

DFW Kidney Care Clinic LLC

  • Nephrology Physician
  • North Richland Hills, TX
National Provider Identifier
1255985156
Registry record updated Apr 12, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
Legal business name
DFW KIDNEY CARE CLINIC LLC
Practice address
4375 Booth Calloway Rd Ste 208
North Richland Hills, TX 76180-8362
Phone
(888) 212-4243
NPI assigned
Jul 29, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 12, 2021

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

Authorized official

Name
Dr. Nishant Jalandhara, MDNPI 1932116902
Title
Physician Owner
Phone
(817) 912-5900

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

4375 Booth Calloway Rd Ste 208
North Richland Hills, TX 76180-8362

Mailing address

117 Gemini Cir Ste 404
Homewood, AL 35209-5850
Phone (888) 212-4243

Other practice location 1

2919 Markum Dr
Haltom City, TX 76117-4004
Phone (817) 912-5900

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20190827001206 TX Part B Supplier - Clinic/Group Practice 0042548265 Receives reassigned benefits from 8 practitioners
Practice locations: North Richland Hills, TX; Fort Worth, TX

National Provider Directory

National Provider Directory

Locations

203 Walls Dr
Cleburne, TX 76033
Phone (817) 336-4433

724 Pennsylvania Ave
Ft Worth, TX 76104
Phone (817) 336-1200

2919 Markum Dr
Haltom City, TX 76117
Phone (817) 831-0321

Practitioners & affiliated clinicians

Practitioners 8

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": "1564358400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1618185600000",
    "number": "1255985156",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "117 GEMINI CIR STE 404",
            "city": "HOMEWOOD",
            "state": "AL",
            "postal_code": "352095850",
            "telephone_number": "888-212-4243"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4375 BOOTH CALLOWAY RD STE 208",
            "city": "NORTH RICHLAND HILLS",
            "state": "TX",
            "postal_code": "761808362",
            "telephone_number": "888-212-4243"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2919 Markum Dr",
            "address_purpose": "LOCATION",
            "city": "Haltom City",
            "state": "TX",
            "postal_code": "761174004",
            "country_code": "US",
            "telephone_number": "817-912-5900",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "DFW KIDNEY CARE CLINIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-07-29",
        "last_updated": "2021-04-12",
        "certification_date": "2021-04-12",
        "status": "A",
        "authorized_official_last_name": "JALANDHARA",
        "authorized_official_first_name": "NISHANT",
        "authorized_official_title_or_position": "PHYSICIAN OWNER",
        "authorized_official_telephone_number": "817-912-5900",
        "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 North Richland Hills, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 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.