NPIMap

Organization Active NPI

Advanced Kidney Care of North Texas, P.L.L.C.

  • Nephrology Physician
  • Plano, TX
National Provider Identifier
1497981211
Registry record updated Oct 28, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
L3581 Issued in TX
Legal business name
ADVANCED KIDNEY CARE OF NORTH TEXAS, P.L.L.C.
Practice address
4708 Alliance Blvd
Suite 600
Plano, TX 75093-5368
Phone
(469) 467-0011
Fax
(469) 467-4923
NPI assigned
Jun 8, 2009
Last updated
Oct 28, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 28, 2024

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

Authorized official

Name
Scott A Biedermann, MDNPI 1326007451
Title
Physician/Owner
Phone
(469) 467-0011

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
Nephrology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RN0300X L3581 TX Primary

Addresses

Primary practice location

4708 Alliance Blvd
Suite 600
Plano, TX 75093-5368

Mailing address

4708 Alliance Blvd
Suite 600
Plano, TX 75093-5368
Phone (469) 467-0011

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100109000433 TX Part B Supplier - Clinic/Group Practice 6002957271 Receives reassigned benefits from 11 practitioners
1 other NPI on this enrollment
Practice locations: Plano, TX; Prosper, TX; Richardson, TX; Rockwal, TX; Rowlett, TX; Wylie, TX; Garland, TX; Allen, TX…

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
Advanced Kidney Care of North Texas2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

4708 Alliance Blvd
Ste 600
Plano, TX 75093
Phone (469) 467-0011

Practitioners & affiliated clinicians

Practitioners 11

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.

NPI Registry JSON

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

{
    "created_epoch": "1244419200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1730073600000",
    "number": "1497981211",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4708 ALLIANCE BLVD",
            "address_2": "SUITE 600",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750935368",
            "telephone_number": "469-467-0011",
            "fax_number": "469-467-4923"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4708 ALLIANCE BLVD",
            "address_2": "SUITE 600",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750935368",
            "telephone_number": "469-467-0011",
            "fax_number": "469-467-4923"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED KIDNEY CARE OF NORTH TEXAS, P.L.L.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-06-08",
        "last_updated": "2024-10-28",
        "certification_date": "2024-10-28",
        "status": "A",
        "authorized_official_last_name": "BIEDERMANN",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PHYSICIAN/OWNER",
        "authorized_official_telephone_number": "469-467-0011",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Nephrology",
            "state": "TX",
            "license": "L3581",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Plano, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 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.