MSC Health Texas LLC

Primary specialty

End-Stage Renal Disease (ESRD) Treatment Clinic/CenterTaxonomy code 261QE0700X

Legal business name

MSC HEALTH TEXAS LLC

Practice address

917 10TH St Ste 123
Floresville, TX 78114-1851

Phone

(830) 250-4456

Fax

(830) 250-4469

NPI assigned

Jun 15, 2021

Organization subpart

Yes

Parent organization

CARMEN KIDNEY HEALTHAs reported in NPPES

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

Authorized official

Name

Andres Gutierrez

Title

Ceo

Phone

(210) 394-5631

Specialties & licenses 8

Addresses

Other names 3

• Carmen Floresville Doing business as
• Carmen HEALTH Doing business as
• Carmen Kidney Health Other name

Medicare fee-for-service enrollment

Enrolled in TX3 enrollments

Enrollment records 3

Other NPIs with the same Medicare PAC ID 2

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

• MSC Health Texas LLC

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Spring Branch, TX
  • NPI 1346932126

  3577954478

  Same PAC ID
• MSC Health Texas LLC

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Lakeway, TX
  • NPI 1386336162

  3577954478

  Same PAC ID

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• MSC Health Texas LLC

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Spring Branch, TX
  • NPI 1346932126

  O20230829002771

  Same enrollment

Listed as

Carmen FloresvilleCCN 742610

Overall star rating

4.0 of 5

Ownership

Profit

Certified

Apr 12, 2023

Medicare certification status

ActiveFrom the Provider of Services file

Dialysis stations

5

Part of

MSC Health Texas LLC

Locations

Practitioners 3

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

• Alfredo J. Fiallo, M.D.

  • Nephrology Physician
  • San Antonio, TX
  • NPI 1417931031
  Medicare reassignment NPD
• Judy New

  • Renal Nutrition Registered Dietitian
  • San Antonio, TX
  • NPI 1356011829

  Nutrition, Renal

  NPD (past)
• Stephanie Rae White, RD

  • Registered Dietitian
  • San Antonio, TX
  • NPI 1548936842
  NPD (past)

Affiliated clinicians 2

Clinicians who list this facility as an affiliation in Medicare Care Compare.

• Qasim Ali Butt, M.D.

  • Nephrology Physician
  • San Antonio, TX
  • NPI 1598966715

  Dialysis facility

  Care Compare affiliation Name & address match
• Ragi Philips, MD

  • Nephrology Physician
  • San Antonio, TX
  • NPI 1912311903

  Dialysis facility

  Care Compare affiliation Name & address match

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

{
    "created_epoch": "1623715200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1728950400000",
    "number": "1316515489",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 E HOUSTON ST FL 3-29",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782052990",
            "telephone_number": "210-775-1600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "917 10TH ST STE 123",
            "city": "FLORESVILLE",
            "state": "TX",
            "postal_code": "781141851",
            "telephone_number": "830-250-4456",
            "fax_number": "830-250-4469"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MSC HEALTH TEXAS LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CARMEN KIDNEY HEALTH",
        "enumeration_date": "2021-06-15",
        "last_updated": "2024-10-15",
        "certification_date": "2024-10-15",
        "status": "A",
        "authorized_official_last_name": "GUTIERREZ",
        "authorized_official_first_name": "ANDRES",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "210-394-5631"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "133VN1005X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dietitian, Registered, Nutrition, Renal",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "163WD1100X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Registered Nurse, Dialysis, Peritoneal",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "163WH0500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Registered Nurse, Hemodialysis",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RN0300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Nephrology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2472R0900X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Technician, Other, Renal Dialysis",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QE0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, End-Stage Renal Disease (ESRD) Treatment",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Carmen Floresville",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Carmen HEALTH",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Carmen HEALTH",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Carmen Kidney Health",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Charlie Ann Morehead, M.D.
• Preston N. Morehead, M.D.
• Melanie Darlyne Morgan
• Morning Star Family Medicine PLLC
• Ana Luissa Motta, MD
• Multi-Specialty Diagnostic Center Rebecca a Preiss Gen PTR
• Sophia Yasmeen Munoz
• Devraj U Nayak, M.D.
• New Directions Counseling Services, LLC
• Nursing Home Dentistry, PLLC

• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Floresville, TX
• Providers in Floresville, TX by specialty
• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2024; 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.