Organization Active NPI

Premier Texas Kidney Care PLLC

  • Nephrology Physician
  • Edinburg, TX
National Provider Identifier
1275278079
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
Legal business name
PREMIER TEXAS KIDNEY CARE PLLC
Practice address
1809 S Middleton St
Edinburg, TX 78539-2521
Phone
(216) 543-2222
NPI assigned
May 5, 2022
Last updated
Sep 11, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Authorized official

Name
Sridhar Allam, MDNPI 1700061819
Title
Owner
Phone
(216) 543-2222

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)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X NU
Nephrology Physician 207RN0300X NU Primary

Addresses

Primary practice location

1809 S Middleton St
Edinburg, TX 78539-2521

Mailing address

1809 S Middleton St
Edinburg, TX 78539-2521
Phone (216) 543-2222

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220624000321 TX Part B Supplier - Clinic/Group Practice 8527447366 Receives reassigned benefits from 1 practitioner
Practice locations: Edinburg, TX

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1651708800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1275278079",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1809 S MIDDLETON ST",
            "city": "EDINBURG",
            "state": "TX",
            "postal_code": "785392521",
            "telephone_number": "216-543-2222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1809 S MIDDLETON ST",
            "city": "EDINBURG",
            "state": "TX",
            "postal_code": "785392521",
            "telephone_number": "216-543-2222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREMIER TEXAS KIDNEY CARE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-05-05",
        "last_updated": "2025-09-11",
        "certification_date": "2025-09-11",
        "status": "A",
        "authorized_official_last_name": "ALLAM",
        "authorized_official_first_name": "SRIDHAR",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "216-543-2222",
        "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": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Edinburg, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; 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.