Premier Renal Physicians PLLC

Primary specialty

Nephrology PhysicianTaxonomy code 207RN0300X

Legal business name

PREMIER RENAL PHYSICIANS PLLC

Practice address

4102 Woodlawn Ave Ste 200
Pasadena, TX 77504-1948

Phone

(281) 393-9018

Fax

(281) 828-0715

NPI assigned

Oct 22, 2018

Organization subpart

No

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

Authorized official

Name

Dr. Ugochi Osborn, MDNPI 1932442084

Title

Owner

Phone

(281) 393-9018

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Locations

Practitioners 1

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

• Ugochi A Osborn, MD

  • Nephrology Physician
  • Pasadena, TX
  • NPI 1932442084
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1540166400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1622764800000",
    "number": "1437625068",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10223 BROADWAY ST STE P332",
            "city": "PEARLAND",
            "state": "TX",
            "postal_code": "775847880",
            "telephone_number": "281-393-9018",
            "fax_number": "281-828-0715"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4102 WOODLAWN AVE STE 200",
            "city": "PASADENA",
            "state": "TX",
            "postal_code": "775041948",
            "telephone_number": "281-393-9018",
            "fax_number": "281-828-0715"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10907 Memorial Hermann Dr Ste 300",
            "address_purpose": "LOCATION",
            "city": "Pearland",
            "state": "TX",
            "postal_code": "775844194",
            "country_code": "US",
            "telephone_number": "281-393-9018",
            "fax_number": "281-828-0715",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "201 Oak Dr S Ste 202",
            "address_purpose": "LOCATION",
            "city": "Lake Jackson",
            "state": "TX",
            "postal_code": "775665627",
            "country_code": "US",
            "telephone_number": "281-393-9018",
            "fax_number": "281-828-0715",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "PREMIER RENAL PHYSICIANS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-10-22",
        "last_updated": "2021-06-04",
        "certification_date": "2021-06-04",
        "status": "A",
        "authorized_official_last_name": "OSBORN",
        "authorized_official_first_name": "UGOCHI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "281-393-9018",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Nephrology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "396343101",
            "state": "TX"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ugochi.osborn@premierrenalphysicians.com",
            "affiliation": "N",
            "endpointDescription": "Secure Email",
            "address_1": "10223 Broadway St Ste P332",
            "city": "Pearland",
            "state": "TX",
            "country_code": "US",
            "postal_code": "775847880",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2021; 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.