Organization Active NPI

Aqua Dialysis Fort Bend LLC

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Stafford, TX
National Provider Identifier
1477112126
Registry record updated Aug 1, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
End-Stage Renal Disease (ESRD) Treatment Clinic/CenterTaxonomy code 261QE0700X
Legal business name
AQUA DIALYSIS FORT BEND LLC
Practice address
12220 Murphy Rd Ste R
Stafford, TX 77477-2410
Phone
(281) 568-9911
Fax
(281) 568-0093
NPI assigned
Jun 6, 2019
Organization subpart
Yes
Parent organization
AQUA DIALYSIS LLPAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Aug 1, 2025

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

Authorized official

Name
Rupal Patel, MDNPI 1841389665
Title
Ceo
Phone
(832) 721-2927

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
End-Stage Renal Disease (ESRD) Treatment Clinic/Center 261QE0700X Primary

Addresses

Primary practice location

12220 Murphy Rd Ste R
Stafford, TX 77477-2410

Mailing address

1245 Southridge CT Ste 102
Hurst, TX 76053-4390
Phone (682) 429-4508

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20190719000764 TX Part A Provider - End-Stage Renal Disease Facility (ESRD) 3476889098 Practice locations: Stafford, TX

Care Compare: Dialysis facility

Medicare Care Compare
Listed as
Aqua Dialysis Fort BendCCN 672643
Overall star rating
1.0 of 5
Ownership
Profit
Certified
Jul 14, 2010
Medicare certification status
ActiveFrom the Provider of Services file
Dialysis stations
16

Name & address match This facility record has no NPI; it was connected to this NPI by matching name and address.

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
45D1089020Aqua Dialysis Fort Bend LLC12220 Murphy Road, Suite R, Stafford, TX 77477Certificate of waiverSep 8, 2026

National Provider Directory

National Provider Directory

Locations

1245 Southridge Ct
Ste 102
Hurst, TX 76053

Practitioners & affiliated clinicians

Practitioners 1

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

Affiliated clinicians 1

Clinicians who list this facility as an affiliation in Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1559779200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1754006400000",
    "number": "1477112126",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1245 SOUTHRIDGE CT STE 102",
            "city": "HURST",
            "state": "TX",
            "postal_code": "760534390",
            "telephone_number": "682-429-4508",
            "fax_number": "346-214-6368"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12220 MURPHY RD STE R",
            "city": "STAFFORD",
            "state": "TX",
            "postal_code": "774772410",
            "telephone_number": "281-568-9911",
            "fax_number": "281-568-0093"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AQUA DIALYSIS FORT BEND LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "AQUA DIALYSIS LLP",
        "enumeration_date": "2019-06-06",
        "last_updated": "2025-08-01",
        "certification_date": "2025-08-01",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "RUPAL",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "832-721-2927",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QE0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, End-Stage Renal Disease (ESRD) Treatment",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stafford, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.