Houston Kidney Specialists Center PLLC

Primary specialty

Nephrology PhysicianTaxonomy code 207RN0300X

Legal business name

HOUSTON KIDNEY SPECIALISTS CENTER PLLC

Practice address

13656 Breton Ridge St Ste a-H
Houston, TX 77070-6081

Phone

(281) 429-8780

Fax

(281) 763-7930

NPI assigned

Dec 18, 2018

Last updated

Mar 18, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ghayyath Sultan, MDNPI 1780913996

Title

President

Phone

(216) 702-4535

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Locations

Practitioners 71

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Ghayyath Sultan, M.D

  • Nephrology Physician
  • Houston, TX
  • NPI 1780913996
  Medicare reassignment Care Compare group NPD Authorized official
• Jaclyn Marie Cavalieri

  • Family Nurse Practitioner
  • Houston, TX
  • NPI 1053173849
  Medicare reassignment Care Compare group NPD
• Stephanie Ann Dykalski, N.P.

  • Nurse Practitioner
  • Tomball, TX
  • NPI 1609237320
  Medicare reassignment Care Compare group NPD
• Tsegaw Erko Egziti, M.D.

  • Nephrology Physician
  • Houston, TX
  • NPI 1982995213
  Medicare reassignment Care Compare group NPD
• Gmiel Jones, FNP-C

  • Family Nurse Practitioner
  • Houston, TX
  • NPI 1285508994

  Single Specialty

  Medicare reassignment Care Compare group NPD
• Devaraj Munikrishnappa, M.D.

  • Nephrology Physician
  • Houston, TX
  • NPI 1467537167
  Medicare reassignment Care Compare group NPD
• Jonathan Daniel Pankow, MD

  • Nephrology Physician
  • Houston, TX
  • NPI 1962817783

  Single Specialty

  Medicare reassignment Care Compare group NPD
• Mohamed Ali Sheta, M.D.

  • Nephrology Physician
  • Houston, TX
  • NPI 1457666570
  Medicare reassignment Care Compare group NPD
• Shashank S Singh, MD

  • Nephrology Physician
  • San Antonio, TX
  • NPI 1396165619
  Medicare reassignment Care Compare group NPD
• Patricia Torre Vargas, APRN AGACNP

  • Acute Care Nurse Practitioner
  • Houston, TX
  • NPI 1932851391
  Medicare reassignment Care Compare group NPD
• Melanie Margaret Alexander, MSN, APRN, FNP-C

  • Family Nurse Practitioner
  • Austin, TX
  • NPI 1952822280
  Medicare reassignment NPD
• Aline Antic, FNP

  • Family Nurse Practitioner
  • Houston, TX
  • NPI 1346088184
  Medicare reassignment NPD

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

{
    "created_epoch": "1545091200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1710720000000",
    "number": "1396217162",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2149 E WARNER RD STE 102",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "852843495",
            "telephone_number": "480-393-0309",
            "fax_number": "480-610-6189"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13656 BRETON RIDGE ST STE A-H",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770706081",
            "telephone_number": "281-429-8780",
            "fax_number": "281-763-7930"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "21212 Northwest Fwy Ste 465",
            "address_purpose": "LOCATION",
            "city": "Cypress",
            "state": "TX",
            "postal_code": "774296070",
            "country_code": "US",
            "telephone_number": "281-429-8780",
            "fax_number": "281-763-7930",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "10720 Barker Cypress Rd",
            "address_purpose": "LOCATION",
            "city": "Cypress",
            "state": "TX",
            "postal_code": "774331372",
            "country_code": "US",
            "telephone_number": "281-429-8780",
            "fax_number": "281-463-7930",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "18220 Tomball Pkwy Ste 205",
            "address_purpose": "LOCATION",
            "city": "Houston",
            "state": "TX",
            "postal_code": "770704347",
            "country_code": "US",
            "telephone_number": "281-429-8780",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "HOUSTON KIDNEY SPECIALISTS CENTER PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-12-18",
        "last_updated": "2024-03-18",
        "certification_date": "2024-03-18",
        "status": "A",
        "authorized_official_last_name": "SULTAN",
        "authorized_official_first_name": "GHAYYATH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "216-702-4535",
        "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": []
}

• Houston Kidney Center - Total Renal Care Integrated Service Network LP (NorthStar Dialysis Center)
• Houston Kidney Center - Total Renal Care Integrated Service Network LP (Houston Kidney Center Southwest)
• Houston Kidney Center - Total Renal Care Integrated Service Network LP (Houston Kidney Center Cypress Station)
• Houston Kidney Center - Total Renal Care Integrated Service Network LP (Northwest Kidney Center)
• Houston Kidney Consultants PLLC
• Houston Lifecare EMS Inc
• Houston Liver Institute Inc
• Houston LTAC Operating Company LLC (Texas Specialty Hospital of Houston)
• Houston Lung Center
• Houston Luxury Ground Transportation

• Nephrology Physician in Houston, TX
• Providers in Houston, TX by specialty
• Nephrology Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 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.