Wichita Falls Kidney Clinic PA

Primary specialty

Nephrology PhysicianTaxonomy code 207RN0300X

Legal business name

WICHITA FALLS KIDNEY CLINIC PA

Practice address

1508 10TH St
Wichita Falls, TX 76301-4401

Phone

(940) 263-1286

NPI assigned

Mar 16, 2011

Organization subpart

No

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

Authorized official

Name

Jayasankar Kaluvapelle Reddy, M.D.NPI 1174562276

Title

Owner

Phone

(512) 777-9650

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Locations

Practitioners 4

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

• Jayasankar K Reddy, MD

  • Nephrology Physician
  • Wichita Falls, TX
  • NPI 1174562276

  Internal Medicine

  Medicare reassignment NPD Authorized official
• Jessica Diann Brittain, ACAG-NP

  • Acute Care Nurse Practitioner
  • Amarillo, TX
  • NPI 1760040349
  NPD (past)
• Satish Chada, M.D.

  • Critical Care Medicine (Internal Medicine) Physician
  • Wichita Falls, TX
  • NPI 1215915558
  NPD (past)
• Lowell Harvey, M.D.

  • Critical Care Medicine (Internal Medicine) Physician
  • Wichita Falls, TX
  • NPI 1790763969
  NPD (past)

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

{
    "created_epoch": "1300233600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1355961600000",
    "number": "1598064552",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1508 10TH ST",
            "city": "WICHITA FALLS",
            "state": "TX",
            "postal_code": "763014401",
            "telephone_number": "940-263-1286"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1508 10TH ST",
            "city": "WICHITA FALLS",
            "state": "TX",
            "postal_code": "763014401",
            "telephone_number": "940-263-1286"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WICHITA FALLS KIDNEY CLINIC PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-03-16",
        "last_updated": "2012-12-20",
        "status": "A",
        "authorized_official_last_name": "REDDY",
        "authorized_official_first_name": "JAYASANKAR",
        "authorized_official_middle_name": "KALUVAPELLE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "512-777-9650",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RN0300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Nephrology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Wichita Falls Infectious Disease Assoc. P.a.
• Wichita Falls Isd
• Wichita Falls Kidney Dialysis LLC
• Wichita Falls Nephrology Associates, PLLC
• Wichita Falls Oral and Facial Surgery, PLLC
• Wichita Falls Physician Billing Services, LLC
• Wichita Falls Podiatry PLLC

• Nephrology Physician in Wichita Falls, TX
• Providers in Wichita Falls, TX by specialty
• Nephrology Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2012; 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.