NPIMap

Organization Active NPI

Southeast Texas Nephrology Associates PA

  • Nephrology Physician
  • Nederland, TX
National Provider Identifier
1376543074
Registry record updated May 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
Legal business name
SOUTHEAST TEXAS NEPHROLOGY ASSOCIATES PA
Practice address
2300 Highway 365 Ste 210
Nederland, TX 77627-6283
Phone
(409) 985-6657
Fax
(409) 982-7805
NPI assigned
Jul 26, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 28, 2025

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

Authorized official

Name
Mrs. Deborah Ann Chatman
Title
Practice Manager
Phone
(409) 985-6657

Specialties & licenses 1

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

Addresses

Primary practice location

2300 Highway 365 Ste 210
Nederland, TX 77627-6283

Mailing address

2300 Highway 365 Ste 210
Nederland, TX 77627-6283
Phone (409) 985-6657

Other identifiers 2

IdentifierTypeStateIssuer
112593204MedicaidTX
112593202MedicaidTX

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20051026001091 TX Part B Supplier - Clinic/Group Practice 0749207090 Receives reassigned benefits from 12 practitioners
Practice locations: Beaumont, TX; Nederland, TX

National Provider Directory

National Provider Directory

Locations

3395 Plaza 10 Dr
Beaumont, TX 77707
Phone (210) 215-4961

2300 Highway 365
Ste 210
Nederland, TX 77627
Phone (409) 721-5155

1750 9th Ave
Ste 201
Port Arthur, TX 77642
Phone (409) 985-6657

Practitioners & affiliated clinicians

Practitioners 15

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

View all 15

NPI Registry JSON

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

{
    "created_epoch": "1122336000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1748390400000",
    "number": "1376543074",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2300 HIGHWAY 365 STE 210",
            "city": "NEDERLAND",
            "state": "TX",
            "postal_code": "776276283",
            "telephone_number": "409-985-6657",
            "fax_number": "409-982-7805"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2300 HIGHWAY 365 STE 210",
            "city": "NEDERLAND",
            "state": "TX",
            "postal_code": "776276283",
            "telephone_number": "409-985-6657",
            "fax_number": "409-982-7805"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHEAST TEXAS NEPHROLOGY ASSOCIATES PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-26",
        "last_updated": "2025-05-28",
        "certification_date": "2025-05-28",
        "status": "A",
        "authorized_official_last_name": "CHATMAN",
        "authorized_official_first_name": "DEBORAH",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "PRACTICE MANAGER",
        "authorized_official_telephone_number": "409-985-6657",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Nephrology",
            "state": "TX",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "112593204",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "112593202",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Nederland, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 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.