Active NPI
Savita Koolwal,MD.PA
- Nephrology Physician
- Pharr, TX
National Provider Identifier
1457429052
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nephrology Physician
- License
- H7772
- Legal business name
- SAVITA KOOLWAL,MD.PA
- Practice address
- 214 W Sam Houston Blvd Ste B
Pharr, TX 78577-5346 - Phone
- (956) 971-9121
- Fax
- (956) 283-0641
- NPI assigned
- Dec 1, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Sally Ramos
- Title
- Office Manager
- Phone
- (956) 971-9121
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nephrology Physician | 207RN0300X | H7772 | TX | Primary |
Addresses
Primary practice location
214 W Sam Houston Blvd Ste B
Pharr, TX 78577-5346
Mailing address
214 W Sam Houston Blvd Ste B
Pharr, TX 78577-5346
Phone (956) 971-9121
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 080289401 | Medicaid | TX | |
| 0027BV | Other | TX | BLUE CROSS GRP |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
220 Lindberg Ave
McAllen, TX 78501
Phone (956) 971-9121
214 W Sam Houston Blvd
Pharr, TX 78577
Phone (713) 520-6875
214 W Sam Houston Blvd
#B
Pharr, TX 78577
Phone (956) 971-9121
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Nephrology Physician
- Pharr, TX
- NPI 1558334177
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1164931200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1277424000000",
"number": "1457429052",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "214 W SAM HOUSTON BLVD STE B",
"city": "PHARR",
"state": "TX",
"postal_code": "785775346",
"telephone_number": "956-971-9121",
"fax_number": "956-283-0641"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "214 W SAM HOUSTON BLVD STE B",
"city": "PHARR",
"state": "TX",
"postal_code": "785775346",
"telephone_number": "956-971-9121",
"fax_number": "956-283-0641"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SAVITA KOOLWAL,MD.PA",
"organizational_subpart": "NO",
"enumeration_date": "2006-12-01",
"last_updated": "2010-06-25",
"status": "A",
"authorized_official_last_name": "RAMOS",
"authorized_official_first_name": "SALLY",
"authorized_official_title_or_position": "OFFICE MANAGER",
"authorized_official_telephone_number": "956-971-9121",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "207RN0300X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine, Nephrology",
"state": "TX",
"license": "H7772",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "080289401",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS GRP",
"identifier": "0027BV",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Pharr, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2010; 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.