Organization Active NPI

Kidney Care Associates LLP

  • Nephrology Physician
  • Denison, TX
National Provider Identifier
1265477152
Registry record updated Jan 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
G0858 Issued in TX
Legal business name
KIDNEY CARE ASSOCIATES LLP
Practice address
2741 FM 691
Denison, TX 75020
Phone
(903) 893-7170
Fax
(903) 893-4372
NPI assigned
Jun 17, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 13, 2026

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

Authorized official

Name
Michelle Roppolo
Title
Office Manager
Phone
(903) 893-7170

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X G0858 TX
Nephrology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RN0300X G0858 TX Primary

Addresses

Primary practice location

2741 FM 691
Denison, TX 75020

Mailing address

2741 FM 691
Denison, TX 75020
Phone (903) 893-7170

Other identifiers 7

IdentifierTypeStateIssuer
185866401MedicaidTX
200118650AMedicaidOK
122390106MedicaidTX
166853502MedicaidTX
200118660AMedicaidOK
118143005MedicaidTX
185865601MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK, TX2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20061113000246 OK Part B Supplier - Clinic/Group Practice 9830197532 Receives reassigned benefits from 8 practitioners
Practice locations: Durant, OK
O20070124000164 TX Part B Supplier - Clinic/Group Practice 9830197532 Receives reassigned benefits from 12 practitioners
Practice locations: Sherman, TX; Van Alstyne, TX; Denison, TX; Bonham, TX

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
45D2046889Kidney Care Associates2741 FM 691, Denison, TX 75020Provider-performed microscopySep 12, 2026

National Provider Directory

National Provider Directory

Locations

5012 S US Highway 75
Ste 220
Denison, TX 75020
Phone (903) 416-6110

102 Memorial Dr
#201
Denison, TX 75020
Phone (903) 463-5057

2741 FM 691
Denison, TX 75020
Phone (903) 893-7170

600 E Taylor St
Ste 103
Sherman, TX 75090
Phone (903) 257-3929

Practitioners & affiliated clinicians

Practitioners 13

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

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1150502400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1768262400000",
    "number": "1265477152",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2741 FM 691",
            "city": "DENISON",
            "state": "TX",
            "postal_code": "75020",
            "telephone_number": "903-893-7170",
            "fax_number": "903-893-4372"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2741 FM 691",
            "city": "DENISON",
            "state": "TX",
            "postal_code": "75020",
            "telephone_number": "903-893-7170",
            "fax_number": "903-893-4372"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KIDNEY CARE ASSOCIATES LLP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-17",
        "last_updated": "2026-01-13",
        "certification_date": "2026-01-13",
        "status": "A",
        "authorized_official_last_name": "ROPPOLO",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "903-893-7170"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "G0858",
            "primary": false
        },
        {
            "code": "207RN0300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Nephrology",
            "state": "TX",
            "license": "G0858",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "185866401",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200118650A",
            "state": "OK"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "122390106",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "166853502",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200118660A",
            "state": "OK"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "118143005",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "185865601",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Denison, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.