NPIMap

Organization Active NPI

MSC Health Texas LLC

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Lakeway, TX
National Provider Identifier
1386336162
Registry record updated Oct 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
End-Stage Renal Disease (ESRD) Treatment Clinic/CenterTaxonomy code 261QE0700X
Legal business name
MSC HEALTH TEXAS LLC
Practice address
1516 Ranch Road 620 S Ste 400
Lakeway, TX 78734-6295
Phone
(512) 254-8282
Fax
(512) 254-8254
NPI assigned
May 22, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 15, 2024

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) 775-1600

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 104100000X
Renal Nutrition Registered DietitianGroup: 193200000X MULTI-SPECIALTY GROUP 133VN1005X
Peritoneal Dialysis Registered NurseGroup: 193200000X MULTI-SPECIALTY GROUP 163WD1100X
Hemodialysis Registered NurseGroup: 193200000X MULTI-SPECIALTY GROUP 163WH0500X
Renal Dialysis TechnicianGroup: 193200000X MULTI-SPECIALTY GROUP 2472R0900X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center 261QE0700X Primary

Addresses

Primary practice location

1516 Ranch Road 620 S Ste 400
Lakeway, TX 78734-6295

Mailing address

1305 E Houston St Ste 403
San Antonio, TX 78205-2034
Phone (210) 775-1600

Other names 3

  • Carmen HEALTH Doing business as
  • Carmen Lakeway Doing business as
  • Carmen kidney HEALTH Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230811002124 TX Part A Provider - End-Stage Renal Disease Facility (ESRD) 3577954478 Practice locations: Lakeway, TX

Other NPIs with the same Medicare PAC ID 2

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

National Provider Directory

National Provider Directory
Tax ID family
MSC Health Texas LLC4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1516 Ranch Road 620 S
Ste 400
Lakeway, TX 78734
Phone (512) 254-8282

1516 Ranch Road 620 S
Ste 450
Lakeway, TX 78734

1305 E Houston St
Ste 403
San Antonio, TX 78205
Phone (210) 775-1600

326 Singing Oaks
Ste 155
Spring Branch, TX 78070
Phone (210) 775-1600

Ownership & related parties

Subparts reporting this organization as parent 3

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

Practitioners & affiliated clinicians

Practitioners 1

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": "1684713600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1728950400000",
    "number": "1386336162",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1305 E HOUSTON ST STE 403",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782052034",
            "telephone_number": "210-775-1600",
            "fax_number": "210-742-1534"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1516 RANCH ROAD 620 S STE 400",
            "city": "LAKEWAY",
            "state": "TX",
            "postal_code": "787346295",
            "telephone_number": "512-254-8282",
            "fax_number": "512-254-8254"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MSC HEALTH TEXAS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-05-22",
        "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": "210-775-1600"
    },
    "taxonomies": [
        {
            "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": "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 HEALTH",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Carmen Lakeway",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Carmen kidney HEALTH",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lakeway, TX

Sources for this page

  • 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.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.