NPIMap

Organization Active NPI

Nephronlife LLC

  • Nephrology Physician
  • Royse City, TX
National Provider Identifier
1548095078
Registry record updated Jul 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
Legal business name
NEPHRONLIFE LLC
Practice address
115 FM 2453 Ste D
Royse City, TX 75189-7037
Phone
(214) 471-5750
Fax
(214) 491-5750
NPI assigned
Sep 4, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 30, 2025

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

Authorized official

Name
Anand Prakash, MDNPI 1649406281
Title
Owner
Phone
(469) 797-7711

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: 193400000X SINGLE SPECIALTY GROUP 207RN0300X Primary

Addresses

Primary practice location

115 FM 2453 Ste D
Royse City, TX 75189-7037

Mailing address

3001 S Hardin Blvd Ste 110-202
McKinney, TX 75070-7736
Phone (214) 471-5750

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20241223002646 TX Part B Supplier - Clinic/Group Practice 8224565767 Receives reassigned benefits from 6 practitioners
Practice locations: Royse City, TX

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 6

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

NPI Registry JSON

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

{
    "created_epoch": "1725408000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1753833600000",
    "number": "1548095078",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3001 S HARDIN BLVD STE 110-202",
            "city": "MCKINNEY",
            "state": "TX",
            "postal_code": "750707736",
            "telephone_number": "214-471-5750",
            "fax_number": "214-491-5750"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 FM 2453 STE D",
            "city": "ROYSE CITY",
            "state": "TX",
            "postal_code": "751897037",
            "telephone_number": "214-471-5750",
            "fax_number": "214-491-5750"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEPHRONLIFE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-09-04",
        "last_updated": "2025-07-30",
        "certification_date": "2025-07-30",
        "status": "A",
        "authorized_official_last_name": "PRAKASH",
        "authorized_official_first_name": "ANAND",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "469-797-7711",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Nephrology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Royse City, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2025; 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.