Organization Active NPI

Savita Koolwal,MD.PA

  • Nephrology Physician
  • Pharr, TX
National Provider Identifier
1457429052
Registry record updated Jun 25, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
H7772 Issued in TX
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

Updated by the provider on Jun 25, 2010

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)CodeLicenseStatePrimary
Nephrology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
080289401MedicaidTX
0027BVOtherTXBLUE CROSS GRP

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070201000352 TX Part B Supplier - Clinic/Group Practice 0143222315 Receives reassigned benefits from 1 practitioner
Practice locations: Pharr, TX

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.