Organization Active NPI

North Texas Kidney Care Associates, PA

  • Nephrology Physician
  • North Richland Hills, TX
National Provider Identifier
1417151499
Registry record updated Oct 25, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
J5226 Issued in TX
Legal business name
NORTH TEXAS KIDNEY CARE ASSOCIATES, PA
Practice address
4401 Booth Calloway Rd
Suite 303
North Richland Hills, TX 76180-7371
Phone
(817) 988-8345
Fax
(972) 462-0456
NPI assigned
Jun 13, 2007
Last updated
Oct 25, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 25, 2007

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

Authorized official

Name
Victor Kalu, M.D.NPI 1841276029
Title
President
Phone
(817) 988-8345

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 Physician 207RN0300X J5226 TX Primary

Addresses

Primary practice location

4401 Booth Calloway Rd
Suite 303
North Richland Hills, TX 76180-7371

Mailing address

PO Box 1157
Coppell, TX 75019-1157
Phone (817) 988-8345

National Provider Directory

National Provider Directory
Tax ID family
North Texas Kidney Care Associates2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Locations

4401 Booth Calloway Rd
Ste 303
North Richland Hills, TX 76180
Phone (817) 988-8345

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1181692800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1193270400000",
    "number": "1417151499",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1157",
            "city": "COPPELL",
            "state": "TX",
            "postal_code": "750191157",
            "telephone_number": "817-988-8345",
            "fax_number": "972-462-0456"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4401 BOOTH CALLOWAY RD",
            "address_2": "SUITE 303",
            "city": "NORTH RICHLAND HILLS",
            "state": "TX",
            "postal_code": "761807371",
            "telephone_number": "817-988-8345",
            "fax_number": "972-462-0456"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH TEXAS KIDNEY CARE ASSOCIATES, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-13",
        "last_updated": "2007-10-25",
        "status": "A",
        "authorized_official_last_name": "KALU",
        "authorized_official_first_name": "VICTOR",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "817-988-8345",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "TX",
            "license": "J5226",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Richland Hills, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.