Individual provider Active NPI

Aadil Kaisani, DO

  • Nephrology Physician
  • Waco, TX
National Provider Identifier
1487116737
Registry record updated Jul 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
U9561 Issued in TX
Practice address
5940 Crosslake Pkwy
Waco, TX 76712-6986
Phone
(254) 666-8988
Fax
(254) 666-6000
NPI assigned
Apr 4, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 23, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X U9561 TX
Student in an Organized Health Care Education/Training Program 390200000X
Nephrology Physician 207RN0300X U9561 TX Primary

Addresses

Primary practice location

5940 Crosslake Pkwy
Waco, TX 76712-6986

Mailing address

2401 S 31St St # Ms 01161B
Temple, TX 76508-0001

Other practice location 1

2401 S 31st St # MS 01161B
Temple, TX 76508-0001
Phone (254) 724-2364

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240607001264 TX Practitioner - Internal MedicinePractitioner - Nephrology 7315271590 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Nephrology
Education
University of North Texas HSC, College of Osteopathic Med, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Central Texas Nephrology Associates, P.a.Group PAC ID 7618948571, 14 clinicians

Practice addresses (Care Compare)

1507 Hillview Dr
Hillsboro, TX 76645-2746
Phone (254) 582-5442

5940 Crosslake Pkwy
Waco, TX 76712-6986
Phone 25466689882103

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

Practice roles

OrganizationSpecialtyStatusNew patients
Central Texas Nephrology Associates, P.a. Nephrology CurrentSince Aug 1, 2024 Accepting new patients

Locations

1507 Hillview Dr
Hillsboro, TX 76645
Phone (254) 582-5442

5940 Crosslake Pkwy
Waco, TX 76712
Phone (254) 666-2999

2329 N 39th St
Waco, TX 76708
Phone (254) 752-5503

Interoperability endpoints

  • Direct secure messaging: akaisani75172@direct.acumenmd.com

Organizations & group practices 1

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.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1554336000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721692800000",
    "number": "1487116737",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2401 S 31ST ST # MS 01161B",
            "city": "TEMPLE",
            "state": "TX",
            "postal_code": "765080001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5940 CROSSLAKE PKWY",
            "city": "WACO",
            "state": "TX",
            "postal_code": "767126986",
            "telephone_number": "254-666-8988",
            "fax_number": "254-666-6000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2401 S 31st St # MS 01161B",
            "address_purpose": "LOCATION",
            "city": "Temple",
            "state": "TX",
            "postal_code": "765080001",
            "country_code": "US",
            "telephone_number": "254-724-2364",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KAISANI",
        "first_name": "AADIL",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-04-04",
        "last_updated": "2024-07-23",
        "certification_date": "2024-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "U9561",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "TX",
            "license": "U9561",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Waco, TX

Sources for this page

Verify at the official NPI Registry.