Organization Active NPI

Gulf Coast Kidney Treatment Centers PLLC

  • Nephrology Physician
  • Sugar Land, TX
National Provider Identifier
1356692149
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
Legal business name
GULF COAST KIDNEY TREATMENT CENTERS PLLC
Practice address
1400 Creek Way Dr
# 231A
Sugar Land, TX 77478-4072
Phone
(832) 999-4360
Fax
(832) 999-4370
NPI assigned
Sep 20, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Rupert Patel, MDNPI 1528032042
Title
Member/President
Phone
(832) 999-4360

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RN0300X Primary

Addresses

Primary practice location

1400 Creek Way Dr
# 231A
Sugar Land, TX 77478-4072

Mailing address

PO Box 2009
Sugar Land, TX 77487-2009
Phone (832) 999-4360

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20121031000507 TX Part B Supplier - Clinic/Group Practice 2769632561 Receives reassigned benefits from 1 practitioner
Practice locations: Houston, TX; Sugar Land, TX

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1348099200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1356692149",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2009",
            "city": "SUGAR LAND",
            "state": "TX",
            "postal_code": "774872009",
            "telephone_number": "832-999-4360",
            "fax_number": "832-999-4370"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 CREEK WAY DR",
            "address_2": "# 231A",
            "city": "SUGAR LAND",
            "state": "TX",
            "postal_code": "774784072",
            "telephone_number": "832-999-4360",
            "fax_number": "832-999-4370"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GULF COAST KIDNEY TREATMENT CENTERS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-09-20",
        "last_updated": "2020-08-22",
        "certification_date": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "RUPERT",
        "authorized_official_title_or_position": "MEMBER/PRESIDENT",
        "authorized_official_telephone_number": "832-999-4360",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Nephrology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sugar Land, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.