Kidney Care Medical Center PA

Key facts

NPI

1295561256

Entity type

Organization (NPI type 2)

Primary specialty

Nephrology Physician 207RN0300X

Legal business name

KIDNEY CARE MEDICAL CENTER PA

Practice address

1300 S Bryan Rd Ste 106
Mission, TX 78572-6688

Phone

(956) 583-0095

NPI assigned

Sep 9, 2024

Organization subpart

No

Authorized official

Name

Dr. Mourad Alsabbagh, MD NPI 1124240890

Title

President

Phone

(248) 346-5377

Authorized official NPPES reports the authorized official by name only; the link goes to the one practitioner connected to this organization with that name.

Practitioners 3

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

• Mourad Mousa Alsabbagh, MD Nephrology Physician · Edinburg, TX · NPI 1124240890
  Medicare reassignment NPD Authorized official NEPHROLOGY · TX
• John Andrew Berlanga Nurse Practitioner · Edinburg, TX · NPI 1730701723
  Medicare reassignment NPD TX
• Jazzmin Jara Medical Physician Assistant · Edinburg, TX · NPI 1447940200
  NPD (past)

Medicare participation

Medicare fee-for-service enrollment

Enrolled in TX

Medicare enrollment records

National Provider Directory

Locations

Specialties & licenses

Addresses

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Aug 30, 2025.

{
    "created_epoch": "1725840000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1756512000000",
    "number": "1295561256",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4931 S JACKSON RD",
            "city": "EDINBURG",
            "state": "TX",
            "postal_code": "785397228",
            "telephone_number": "956-835-0095"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1300 S BRYAN RD STE 106",
            "city": "MISSION",
            "state": "TX",
            "postal_code": "785726688",
            "telephone_number": "956-583-0095"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4931 S Jackson Rd",
            "address_purpose": "LOCATION",
            "city": "Edinburg",
            "state": "TX",
            "postal_code": "785397228",
            "country_code": "US",
            "telephone_number": "956-583-0095",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "KIDNEY CARE MEDICAL CENTER PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-09-09",
        "last_updated": "2025-08-30",
        "certification_date": "2025-08-30",
        "status": "A",
        "authorized_official_last_name": "ALSABBAGH",
        "authorized_official_first_name": "MOURAD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "248-346-5377",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Nephrology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mission, TX

• Alejandra G. Khit, D.C.
• Amjad Khuffash, DMD
• Kidding Around Therapy Solutions, LLC
• Kidding Around Therapy, Inc.
• Kidiatric Therapy Services
• Kidney Doctors of South Texas PA
• Kids in Progress PLLC
• Deborah S Kim, CRNA
• Kind Primary Home Care, LLC.
• Rebecca A Koehler, DMD

All providers in Mission, TX · Nephrology Physician in Texas