Active NPI
Laveta Larraine McDowell, M.D.
- Nephrology Physician
- Kerrville, TX
National Provider Identifier
1477611176
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nephrology Physician
- License
- K5619
- Practice address
- 222 Sidney Baker St S
Suite 208
Kerrville, TX 78028-5994 - Phone
- (830) 896-7607
- Fax
- (830) 896-8482
- NPI assigned
- Dec 5, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nephrology Physician | 207RN0300X | K5619 | TX | Primary |
Addresses
Primary practice location
222 Sidney Baker St S
Suite 208
Kerrville, TX 78028-5994
Mailing address
7142 San Pedro Ave
Suite 120
San Antonio, TX 78216-6256
Phone (210) 661-5622
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 310440YS6N | Other | TX | MEDICARE PTAN |
| 325752901 | Medicaid | TX |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20130924000011 | TX | Practitioner - Nephrology | 4486898939 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Nephrology
- Education
- University of Texas Medical School at Houston, 1997
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- San Antonio Kidney Disease Center Physicians Group, P.L.L.C.
Practice addresses (Care Compare)
222 Sidney Baker St S
Suite 208
Kerrville, TX 78028-5983
Phone (830) 896-7607
Hospital & facility affiliations
- DaVita Kerrville Dialysis
- Peterson Regional Medical Center
- Hill Country Memorial Hospital
- Kimble Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 85.76 of 100
- Quality
- 67.88
- Promoting interoperability
- 87
- Improvement activities
- 40
- Cost
- 78.84
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| San Antonio Kidney Disease Center Physicians Group, P.L.L.C. | Nephrology | Current | Accepting new patients |
| San Antonio Kidney Disease Center Physicians Group, P.L.L.C. | Nephrology | Past | Accepting new patients |
Locations
134 Menger Spgs
Ste 1210
Boerne, TX 78006
Phone (210) 495-8280
134 Menger Spgs
Ste 1360
Boerne, TX 78006
Phone (830) 816-5222
222 Sidney Baker St S
Ste 208
Kerrville, TX 78028
Phone (830) 896-7607
7142 San Pedro Ave
Ste 120
San Antonio, TX 78216
Phone (210) 481-7453
Interoperability endpoints
- lavetamcdowell@sakdc.allscriptsdirect.net
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Nephrology Physician
- San Antonio, TX
- NPI 1356325922
Nephrology, TX
-
- Nephrology Physician
- Kerrville, TX
- NPI 1164540134
Nephrology
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Kerrville, TX
- NPI 1902869761
Dialysis facility
-
- General Acute Care Hospital
- Fredericksburg, TX
- NPI 1376256354
Hospital
-
- Critical Access Hospital
- Junction, TX
- NPI 1164688495
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165276800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1439424000000",
"number": "1477611176",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7142 SAN PEDRO AVE",
"address_2": "SUITE 120",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782166256",
"telephone_number": "210-661-5622",
"fax_number": "210-395-4012"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "222 SIDNEY BAKER ST S",
"address_2": "SUITE 208",
"city": "KERRVILLE",
"state": "TX",
"postal_code": "780285994",
"telephone_number": "830-896-7607",
"fax_number": "830-896-8482"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCDOWELL",
"first_name": "LAVETA",
"middle_name": "LARRAINE",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-12-05",
"last_updated": "2015-08-13",
"status": "A"
},
"taxonomies": [
{
"code": "207RN0300X",
"taxonomy_group": "",
"desc": "Internal Medicine, Nephrology",
"state": "TX",
"license": "K5619",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE PTAN",
"identifier": "310440YS6N",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "325752901",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}Other providers in Kerrville, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.