Lone Star Renal PA

Primary specialty

Nephrology PhysicianTaxonomy code 207RN0300X

Legal business name

LONE STAR RENAL PA

Practice address

9800 N Beach St Ste 500
Fort Worth, TX 76244-6474

Phone

(817) 647-9801

NPI assigned

Jun 12, 2023

Organization subpart

No

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

Authorized official

Name

Dr. Anusha Jogimahanti, MD

Title

President

Phone

(817) 647-9801

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1686528000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1686528000000",
    "number": "1306520366",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9800 N BEACH ST STE 500",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "762446474",
            "telephone_number": "817-647-9801"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9800 N BEACH ST STE 500",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "762446474",
            "telephone_number": "817-647-9801"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LONE STAR RENAL PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-06-12",
        "last_updated": "2023-06-12",
        "certification_date": "2023-06-11",
        "status": "A",
        "authorized_official_last_name": "JOGIMAHANTI",
        "authorized_official_first_name": "ANUSHA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "817-647-9801",
        "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": []
}

• Lone Star Kidney Care
• Lone Star Neonatology at North Texas, PLLC
• Lone Star Neuro Service LLC
• Lone Star Orthopaedic and Spine Specialists, PLLC
• Lone Star Pet Imaging LLC
• Lone Star Scooters, L.L.C.
• Lone Star Spine Institute, PA
• Frank Raymond Lonergan, MD
• Alaina Joy Long
• Baylee Long

• Nephrology Physician in Fort Worth, TX
• Providers in Fort Worth, TX by specialty
• Nephrology Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.