Renal Physicians of Montgomery County, P.a.

Primary specialty

Nephrology PhysicianTaxonomy code 207RN0300X

Legal business name

RENAL PHYSICIANS OF MONTGOMERY COUNTY, P.A.

Practice address

200 River Pointe Dr Ste 120
Conroe, TX 77304-2817

Phone

(936) 756-2555

Fax

(936) 756-2534

NPI assigned

Jun 21, 2005

Last updated

Jan 17, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Jaime Harris

Title

Office Manager

Phone

(936) 756-2555

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Locations

Interoperability endpoints

• Direct secure messaging: darshan-tolat@renalphysicians.e-mdsdirect.com

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Harini Pal Bejjanki, MD

  • Nephrology Physician
  • The Woodlands, TX
  • NPI 1508152190
  Medicare reassignment Care Compare group NPD
• Darshan Vipin Tolat, M.D.

  • Nephrology Physician
  • Conroe, TX
  • NPI 1063418515
  Medicare reassignment Care Compare group NPD
• Robert Da Silva, APRN

  • Family Nurse Practitioner
  • Conroe, TX
  • NPI 1073086229
  NPD (past)

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

{
    "created_epoch": "1119312000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1705449600000",
    "number": "1487650974",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 RIVER POINTE DR STE 120",
            "city": "CONROE",
            "state": "TX",
            "postal_code": "773042817",
            "telephone_number": "936-756-2555",
            "fax_number": "936-756-2534"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 RIVER POINTE DR STE 120",
            "city": "CONROE",
            "state": "TX",
            "postal_code": "773042817",
            "telephone_number": "936-756-2555",
            "fax_number": "936-756-2534"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RENAL PHYSICIANS OF MONTGOMERY COUNTY, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-06-21",
        "last_updated": "2024-01-17",
        "certification_date": "2024-01-17",
        "status": "A",
        "authorized_official_last_name": "HARRIS",
        "authorized_official_first_name": "JAIME",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "936-756-2555"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Nephrology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "109487202",
            "state": "TX"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Darshan-tolat@renalphysicians.e-mdsdirect.com",
            "affiliation": "N",
            "endpointDescription": "Health data to be securely sent to physician",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "200 River Pointe Dr",
            "address_2": "Ste 100",
            "city": "Conroe",
            "state": "TX",
            "country_code": "US",
            "postal_code": "773042828",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Renal Treatment Centers-Southeast LP (Conroe Dialysis Center)
• Pecolia Rencher, LVN
• Ariadna Renne
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• Nephrology Physician in Conroe, TX
• Providers in Conroe, TX by specialty
• Nephrology Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2024; 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.